Provider Demographics
NPI:1265516686
Name:DETRANE, FRANK J (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:DETRANE
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 1:1031 CARE WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-8425
Mailing Address - Country:US
Mailing Address - Phone:540-371-7600
Mailing Address - Fax:
Practice Address - Street 1:1031 CARE WAY
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-8425
Practice Address - Country:US
Practice Address - Phone:540-371-7600
Practice Address - Fax:540-370-2046
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041848207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010272033Medicaid
VA10806OtherSENTARA
VA168828OtherANTHEM BCBS
VA101272033Medicaid
VA250917OtherSOUTHERN HEALTH
VA0001OtherCAREFIRST
VA3730484OtherAETNA HMO
VA477497OtherMAMSI/UNITED HEALTHCARE
VA100006739OtherRAILROAD MEDICARE
VA201718482011OtherCHAMPUS/TRICARE
VA20502OtherVMA S/HEALTH CARENET
VA4598039OtherAETNA
VA4598039OtherAETNA
VA250917OtherSOUTHERN HEALTH
VA101272033Medicaid