Provider Demographics
NPI:1902937436
Name:FROST, ROBBIN W (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBBIN
Middle Name:W
Last Name:FROST
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 TANDBERG TRL
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-5100
Mailing Address - Country:US
Mailing Address - Phone:207-893-1989
Mailing Address - Fax:207-893-0190
Practice Address - Street 1:211 TANDBERG TRL
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5100
Practice Address - Country:US
Practice Address - Phone:207-893-1989
Practice Address - Fax:207-893-0190
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPOD221213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MET93082Medicare UPIN
MELX0422Medicare PIN