Ellis Frazier in Piketon - Family Medicine

Ellis Frazier - NPI 1245228196

Ellis Frazier is a Family Medicine in Piketon, Ohio. Ellis Frazier practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ellis Frazier is 1245228196. The last update date is 2020-11-25.

Ellis Frazier's current location address is 100 Indian Ridge Dr, Piketon, Ohio. You can contact this provider via phone number 7402891548 and fax number 7402893989. The mailing address for Ellis Frazier is 100 Indian Ridge Dr, Piketon, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellis Frazier
Address 100 Indian Ridge Dr, Piketon, Ohio
Phone Number 7402891548
Fax Number 7402893989
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1245228196
Provider Enumeration Date 2005-10-13
Last Updated Date 2020-11-25

Provider Mailing Address Detail

Address 100 Indian Ridge Dr
City Piketon
State Ohio (OH)
Post Code 456619654
Phone Number 7402891548
Fax Number 7402893989

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 35052676F
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
720769 OH --
2534182 CIGNA
281343 OH UNISON
634422 ANTHEM

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FAQs about Ellis Frazier

What is the Ellis Frazier's 1245228196?

The Ellis Frazier's NPI (National Provider Identifier) Number is 1245228196. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Ellis Frazier's facilities are geographically located?

The facilities of Ellis Frazier are physically situated at the following location: 100 Indian Ridge Dr, Piketon, OH, 456619654.

What is Ellis Frazier's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ellis Frazier is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Ellis Frazier receive the assignment of its 1245228196 from the Centers for Medicare & Medicaid Services?

The Ellis Frazier was issued its 1245228196 by the Centers for Medicare & Medicaid Services on 2005-10-13.

When was the information regarding Ellis Frazier most recently updated?

The details pertaining to the Ellis Frazier, including its address, specialty, and other relevant information, were last refreshed on 2020-11-25.

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