KURT FRAIVILLIG (NPI# 1134574882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134574882 |
| Entity Type | Individual |
| Full Name | KURT FRAIVILLIG |
| Credential | MD |
| Practice Address |
2401 S 31st St # Ms 01w256 Temple TX 76508-0001 |
| Practice Telephone | 2547244507 |
| Mailing Telephone | (254) 724-4507 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2017-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R75536 | TX | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | R75536 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2401 S 31ST ST # MS 01W256 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568921807 | Michael Bruce Nelson | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 01w256, Temple, TX 76508-0001 | 2019-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
| Find all providers in zip 76508 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699069260 | Grace M Thomas | Radiology | 1213 Waters Dairy Rd, Apt 1015, Temple, TX 76502-3425 | 2011-06-01 |
| 1518268812 | Physicians of King's Daughters, Pa | Radiology | 1909 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2010-11-03 |
| 1851453534 | Matthew Brandon Crisp | Radiology | Scott & White Healthcare Radiology, 2401 S 31st St, Temple, TX 76508-0001 | 2006-12-15 |
| 1285743369 | Johnnie Gene Hutka | Radiology | 7312 Boutwell Dr., Temple, TX 76502-4208 | 2006-08-30 |
| 1750497566 | Harry Heungho Ko | Radiology | 1901 S 1st Street, Temple, TX 76504-9976 | 2006-08-22 |
| 1205849445 | Yashodeep P Jadhav | Radiology | 1901 S First Street, Temple, TX 76504-9976 | 2006-08-15 |
| 1538157771 | Gordon Vincent | Radiology | 1901 South 1st Street, Imaging Service (114t), Temple, TX 76504-7451 | 2005-10-12 |
| 1720436900 | Jared Corn | Radiology | 2401 S 31st St, Temple, TX 76508-0001 | 2016-05-29 |
| 1053768788 | Robert Edward Smith | Radiology | 2401 S 31st St, Temple, TX 76508-0001 | 2016-05-23 |
| 1598142226 | Gregory Ryan Stenoien | Radiology | 2401 S 31st St, Ms-01-w256, Temple, TX 76508-0001 | 2015-05-01 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.