Provider Demographics
NPI:1811900012
Name:DR. MICHAEL A. FRAIS, CARDIOLOGIST,P.A.
Entity type:Organization
Organization Name:DR. MICHAEL A. FRAIS, CARDIOLOGIST,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARTAIN
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:501-321-2513
Mailing Address - Street 1:301 W SAINT LOUIS ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4457
Mailing Address - Country:US
Mailing Address - Phone:501-321-2513
Mailing Address - Fax:501-321-4787
Practice Address - Street 1:301 W SAINT LOUIS ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4457
Practice Address - Country:US
Practice Address - Phone:501-321-2513
Practice Address - Fax:501-321-4787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC8188174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR060051364OtherRAILROAD MEDICAID
AR142487002Medicaid
AR142487002Medicaid
ARF32603Medicare UPIN