MEDICARE: DR. AARON EUGENE FRODSHAM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	309974-1205	UT
2	2085R0204X	Vascular & Interventional Radiology Physician	309974-1205	UT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00953836	OTHER	UT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1184807208	OTHER	UT	EDUCATORS MUTUAL
2	1104759	OTHER	UT	DMBA
3	107100028101	OTHER	UT	SELECTHEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	10000002852001	OTHER	UT	BCBSU
7	129993	OTHER	UT	PEHP
8	862620	OTHER	UT	STERLING HEALTH PLANS

General Provider Information

NPI Number	:	1184807208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON EUGENE FRODSHAM M.D.

Provider Business Mailing Address
First Line	:	4624 S HOLLADAY BLVD STE 202
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-7168
Country	:	US
Telephone Number	:	801-810-2999
Fax Number	:	801-407-0747

Provider Business Practice Location Address
First Line	:	4624 S HOLLADAY BLVD
Second Line	:	SUITE 202
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-7054
Country	:	US
Telephone Number	:	801-810-2999
Fax Number	:	801-407-0747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	05/14/2026

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Directions to “ DR. AARON EUGENE FRODSHAM M.D.” Practice Location

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