Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1417912015
Oleg FroymovichM.D.
Active
NPI Number1417912015
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology
Provider Details
NPI1417912015
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-04-18
Last Updated2012-09-27
Mailing Address701 25th Ave S, Suite 200
Minneapolis, MN 55454-1513
United States
Phone: (612) 339-2124 | Fax: (612) 843-3550
📍 View Map
Primary Practice Address701 25th Ave S, Suite 200
Minneapolis, MN 55454-1513
United States
Phone: (612) 339-2124 | Fax: (612) 843-3550
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MN1028424Medica
Other (non-Medicare)MN1028424Select Care
Other (non-Medicare)MN112123C986UCare
Other (non-Medicare)MN20942Americas PPO
Other (non-Medicare)MN2M287FRBCBS of MN
MEDICAIDWI32002100-
Other (non-Medicare)WI34746-020Wisc License Number
MEDICAIDMN724365100-
Other (non-Medicare)MN961121000169Preferred One
Other (non-Medicare)FMF58068Wausau/Pt Choice
Other (non-Medicare)MNHP13326Health Partners
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Y00000X – OtolaryngologyMN36536
No207Y00000X – OtolaryngologyWI34746-020
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About NPI 1417912015

Oleg Froymovich M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417912015. The primary specialty listed is Otolaryngology. The provider is located in Minneapolis, MN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417912015?

NPI 1417912015 belongs to Oleg Froymovich M.D., a Otolaryngology in Minneapolis, MN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417912015 active?

The current status of NPI 1417912015 in the NPPES registry is Active. The record was last updated on 2012-09-27.

What specialty is NPI 1417912015?

NPI 1417912015 is classified under the taxonomy Otolaryngology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417912015?

You can verify NPI 1417912015 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417912015?

The primary practice address on file for NPI 1417912015 is 701 25th Ave S, Minneapolis, MN 55454-1513. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417912015 issued?

NPI 1417912015 was first issued (enumerated) on 2006-04-18. The NPPES record was last updated on 2012-09-27.

Practice Location Map

Oleg Froymovich is located at 701 25th Ave S, Minneapolis, MN. Use the map below to find directions or verify the practice location.

📍 701 25th Ave S, Minneapolis, MN 55454-1513  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Oleg Froymovich. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1417912015. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology36536MN
Otolaryngology34746-020WI
Data Verified from CMS NPPES Last synced: 2026-08-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162