MEDICARE: DR. ANDREW F FROST MD

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	207L00000X	Anesthesiology Physician	14847	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	050006850	OTHER	OK	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4462062	OTHER	OK	AETNA
2	175044900	OTHER	OK	DEPT OF LABOR
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598752917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW F FROST MD

Provider Business Mailing Address
First Line	:	PO BOX 271958
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73137-1958
Country	:	US
Telephone Number	:	405-775-9350
Fax Number	:	405-775-9360

Provider Business Practice Location Address
First Line	:	3705 W MEMORIAL RD
Second Line	:	302
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1512
Country	:	US
Telephone Number	:	405-775-9350
Fax Number	:	405-775-9360

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	06/05/2008

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Directions to “ DR. ANDREW F FROST MD” Practice Location

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