Healthcare Provider Details

I. General information

NPI: 1871709873
Provider Name (Legal Business Name): JOHN D. FROST, M.D., APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 LAKE OTIS PKWY #302
ANCHORAGE AK
99508-5222
US

IV. Provider business mailing address

4100 LAKE OTIS PKWY #302
ANCHORAGE AK
99508-5222
US

V. Phone/Fax

Practice location:
  • Phone: 907-563-7072
  • Fax: 907-562-5742
Mailing address:
  • Phone: 907-563-7072
  • Fax: 907-562-5742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JOHN D FROST
Title or Position: OWNER
Credential: M.D.
Phone: 907-563-7072