NIKKIYA M. FRASER (NPI# 1013132109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013132109 |
| Entity Type | Individual |
| Full Name | NIKKIYA M. FRASER |
| Credential | MD |
| Practice Address |
7900 W Jefferson Blvd Ste 304 Fort Wayne IN 46804-4128 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Medpartners, Attn: Barb Copeland Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604583600 |
| Practice Fax Number | 2604583601 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
01065295A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000611145 | 01 |
| IN | 200902080 | 05 |
| Street Address |
7900 W JEFFERSON BLVD STE 304 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242599 | Suzanne B. Smith-elekes | Internal Medicine | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2005-08-16 |
| 1720475395 | Desire D. Green | Nurse Practitioner | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2015-04-22 |
| 1164784518 | Gay Gundersen Watson | Nurse Practitioner | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2012-06-12 |
| 1174893531 | Melissa K. Gephart | Nurse Practitioner | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2012-01-03 |
| 1386881993 | Emmanuel E. Okon | Internal Medicine | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538193826 | Shaker Itani | Internal Medicine | 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845-1733 | 2006-07-10 |
| 1962494971 | Roger Scott Stienecker | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2005-08-16 |
| 1235121377 | Barbara Nohinek | Internal Medicine | 2736 Covington Hollow Trl, Fort Wayne, IN 46804-6146 | 2005-08-16 |
| 1447242599 | Suzanne B. Smith-elekes | Internal Medicine | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2005-08-16 |
| 1700272564 | Rehman Ukani | Internal Medicine | 11104 Parkview Circle Dr Ste 440, Fort Wayne, IN 46845-1672 | 2015-04-08 |
| 1063851913 | Aaron Ochoa | Internal Medicine | 11104 Parkview Circle Dr Ste 40, Fort Wayne, IN 46845 | 2013-06-24 |
| 1386881993 | Emmanuel E. Okon | Internal Medicine | 7900 W Jefferson Blvd Ste 304, Fort Wayne, IN 46804-4128 | 2009-01-20 |
| 1205089414 | Maria Ferling Curfman | Internal Medicine | 11109 Parkview Plaza Dr., Fort Wayne, IN 46845-1701 | 2008-10-31 |
| 1265694541 | Jason Reese Bailey | Internal Medicine | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2008-06-27 |
| 1053584623 | Andre Gerardo Melendez | Internal Medicine | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2008-04-03 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.