Provider Demographics
NPI:1699799015
Name:FRAME, JOHN OLDHAM (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:OLDHAM
Last Name:FRAME
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Gender:M
Credentials:DO
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Mailing Address - Street 1:4501 MACCORKLE AVE SW
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1444
Mailing Address - Country:US
Mailing Address - Phone:304-562-3670
Mailing Address - Fax:
Practice Address - Street 1:4501 MACCORKLE AVE SW
Practice Address - Street 2:SUITE 301
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1444
Practice Address - Country:US
Practice Address - Phone:304-768-0700
Practice Address - Fax:304-768-9790
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-10-16
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Provider Licenses
StateLicense IDTaxonomies
WV1212207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV000688918OtherBC BS
WV0042130000Medicaid
WV0703334Medicare PIN
WVE86003Medicare UPIN