JARED R FROST (NPI# 1982000436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982000436 |
| Entity Type | Individual |
| Full Name | JARED R FROST |
| Credential | PA |
| Practice Address |
2200 Bryant Williams Dr Suite 1 Klamath Falls OR 97601-1120 |
| Practice Telephone | 5418847746 |
| Practice Fax Number | 5412745705 |
| Mailing Telephone | 5418847746 |
| Mailing Fax Number | 5412745705 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA169676 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500679872 | 05 |
| Street Address |
2200 BRYANT WILLIAMS DR SUITE 1 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821046962 | Anthony M Hamilton | Physician Assistant | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2006-05-04 |
| 1245784180 | John K Mccormick | Nurse Practitioner | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1121 | 2016-08-09 |
| 1902258080 | Gillian Bayley | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1121 | 2016-07-12 |
| 1700245339 | Andrew J Smith Dmd | Clinic/Center | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2016-02-10 |
| 1336420777 | Jason M Conaughty Md PC | Specialist | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2011-08-30 |
| 1386931723 | Sky Lakes Medical Center Inc | General Practice | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2011-07-06 |
| 1619297587 | Andrew Jacob Smith | Dentist | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2010-06-02 |
| 1578727996 | David Joseph Russell | Surgery | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2008-07-15 |
| 1033373451 | David Joseph Russell Md PC | Surgery | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2008-07-15 |
| 1083885040 | Karl R Knudsen Md PC | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2008-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487137956 | Jocelyn Faith Mcdaniel | Physician Assistant | 2200 Bryant Williams Dr Ste 5, Klamath Falls, OR 97601-1121 | 2018-09-11 |
| 1659898633 | Joshua Aaron Martin | Physician Assistant | 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601-1121 | 2017-08-29 |
| 1255354817 | Paul A Winkler II | Physician Assistant | 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1120 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
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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.