Provider Demographics
NPI:1992904270
Name:FRAME, CARRIE PARRIS (DPM)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:PARRIS
Last Name:FRAME
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:CARRIE
Other - Middle Name:PARRIE
Other - Last Name:GOSSELINK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:1 KENTON DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-1256
Mailing Address - Country:US
Mailing Address - Phone:304-306-8990
Mailing Address - Fax:877-471-5976
Practice Address - Street 1:1 KENTON DR STE 100
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25311-1256
Practice Address - Country:US
Practice Address - Phone:304-306-8990
Practice Address - Fax:877-471-5976
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV10409213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0008668000Medicaid
WV9223731Medicare PIN