REGINA FROST (NPI# 1215148689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215148689 |
| Entity Type | Individual |
| Full Name | REGINA FROST |
| Credential | M.D. |
| Practice Address |
22050 Mack Ave Saint Clair Shores MI 48080-2388 |
| Mailing Address |
Po Box 806445 Saint Clair Shores MI 48080-6445 |
| Practice Telephone | 5867772550 |
| Practice Fax Number | 5867772447 |
| Mailing Telephone | 5867772550 |
| Mailing Fax Number | 5867772447 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2011-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301083979 | MI | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301083979 | MI | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
4301083979 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS INDIVIDUAL PIN | 16-0502285-2 | 01 |
| MI | BCBS GROUP NUMBER | 700E012740 | 01 |
| Street Address |
22050 MACK AVE |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-2388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346360229 | Joyce Catherine Purakal | Obstetrics & Gynecology | 21000 E 12 Mile Rd Ste 102, Saint Clair Shores, MI 48081-1156 | 2007-04-02 |
| 1396185708 | Rachel Mclaurin Matthews | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2013-06-29 |
| 1508099193 | Compassionate Womens Healthcare | Obstetrics & Gynecology | 22050 Greater Mack Ave, Saint Clair Shores, MI 48080-2388 | 2009-08-28 |
| 1205091071 | Abessinio Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 22811 Greater Mack Ave, Suite 106, Saint Clair Shores, MI 48080-2021 | 2008-07-22 |
| 1821256116 | Susan A. Radtke, M.d., P.C. | Obstetrics & Gynecology | 21321 Harper Ave, Suite A, Saint Clair Shores, MI 48080-2243 | 2008-05-23 |
| 1427125897 | Wontika R. Smith | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2006-11-29 |
| 1679657613 | Women To Women Health Center PC | Obstetrics & Gynecology | 23715 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1181 | 2006-10-25 |
| 1164535886 | St Clair Shores Obstetrics and Gynecolgy, Plc | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2006-08-16 |
| 1033129630 | Suzanne M Millican | Obstetrics & Gynecology | 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | 2006-08-08 |
| 1144237926 | Andrea Maria Abessinio | Obstetrics & Gynecology | 22811 Greater Mack Ave, Suite 106, Saint Clair Shores, MI 48080-2021 | 2006-08-02 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
Please comment or provide details below to improve the information on REGINA FROST.
| 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.