Provider Demographics
NPI:1972509610
Name:PRICE, FRANKLIN B (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:B
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6563 WILSON MILLS RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MAYFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44143
Mailing Address - Country:US
Mailing Address - Phone:440-919-0180
Mailing Address - Fax:440-919-0181
Practice Address - Street 1:6563 WILSON MILLS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:MAYFIELD
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:440-919-0180
Practice Address - Fax:440-919-0181
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-0162-P207R00000X, 207RG0300X, 207RX0202X
OH35-03-0162207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3410406060OtherTRICARE
OHPRO381542OtherMEDICARE
OH0996955OtherUNITED MINE WORKERS
OH30-00056OtherUNITED HEALTH CARE
OH000000126357OtherANTHEM
OH1877386OtherCIGNA
OH0258546OtherMEDICAID
OH02641110OtherFEDERAL BLACK LUNG PROG
OH341040606030OtherCARE SOURCE
OH0258546Medicaid
OH028546Medicaid
OH108590OtherKISER
OH110044293OtherRAILROAD MEDICARE
OHR30162OtherAPEX
OH341040606003OtherTRICARE
OH55234OtherQUALCHOICE
C01043Medicare UPIN
OHPRO381542OtherMEDICARE
OH110044293OtherRAILROAD MEDICARE