MEDICARE: FRONTIER FAMILY MEDICINE PC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1306883194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTIER FAMILY MEDICINE PC

Provider Business Mailing Address
First Line	:	616 W NORTH ST
Second Line	:
City	:	ENTERPRISE
State	:	OR
Zip	:	97828-1427
Country	:	US
Telephone Number	:	541-426-3797
Fax Number	:	541-426-3798

Provider Business Practice Location Address
First Line	:	616 W NORTH ST
Second Line	:
City	:	ENTERPRISE
State	:	OR
Zip	:	97828-1427
Country	:	US
Telephone Number	:	541-426-3797
Fax Number	:	541-426-3798

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KIMBERLY A TINGELSTAD
Credential	:
Telephone Number	:	541-426-3797

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1124078175 — DR. BILLIE J KASKASUTO D.C., FNP-C
Practice Location Address:

610 W NORTH ST SUITE B
ENTERPRISE, OR
97828-1427

Practice Phone: 541-426-9355
Practice Fax: 541-426-6437

1982654943 — DR. JOHN S SUTO D.C.
Practice Location Address:

610 W NORTH ST
ENTERPRISE, OR
97828-1427

Practice Phone: 541-426-3107
Practice Fax: 541-426-6437

1609821263 — EMILY A SHEAHAN MD
Practice Location Address:

616 W NORTH ST
ENTERPRISE, OR
97828-1427

Practice Phone: 541-426-3797
Practice Fax:

1194754127 — SAFEWAY INC
Practice Location Address:

601 W NORTH ST
ENTERPRISE, OR
97828-1427

Practice Phone: 541-426-3535
Practice Fax: 541-426-9107

1770708505 — SUTO ENTERPRISES, INC
Practice Location Address:

610 W NORTH ST
ENTERPRISE, OR
97828-1427

Practice Phone: 541-426-3107
Practice Fax: 541-426-6437

1285934331 — MRS. KOREEN MARIE SANDERS RPH
Practice Location Address:

601 W NORTH ST
ENTERPRISE, OR
97828-1427

Practice Phone: 541-426-3535
Practice Fax: 541-426-9107

Directions to “FRONTIER FAMILY MEDICINE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.