Doctor profile · Federal record
Dr. Philip Jay Frayre, MD
Pediatrics Physician · Pediatrics Physician · Pine Bluff, AR
- NPI 1588126981
- 7 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1500 W 42Nd Ave
Pine Bluff, AR 716037018
(870) 560-6534 - Additional location
-
848 Adams Ave
Memphis, TN 381032816
(901) 287-5437 - Mailing address
-
1 Childrens Way
Little Rock, AR 722023500
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- February 23, 2026
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Arkansas #E-19475 · Tennessee #66505
- Medicaid
- AR #293999001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588126981. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$81
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Vericel Corporation | 1 | $81.48 |
By nature of payment
Frequently asked questions
What is Dr. Philip Jay Frayre's medical specialty?
Dr. Philip Jay Frayre practices Pediatrics Physician in Pine Bluff, AR.
Where does Dr. Philip Jay Frayre practice?
Dr. Philip Jay Frayre practices at 1500 W 42Nd Ave, Pine Bluff, AR 716037018. Office phone: 8705606534.
What is Dr. Philip Jay Frayre's NPI?
Dr. Philip Jay Frayre's National Provider Identifier (NPI) is 1588126981, issued by NPPES.