FRAZIER KEITT (NPI# 1063830743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063830743 |
| Entity Type | Individual |
| Full Name | FRAZIER KEITT |
| Credential | D.O. |
| Practice Address |
49 Jesse Hill Jr Dr Se Atlanta GA 30303-3049 |
| Practice Telephone | 4046164473 |
| Practice Fax Number | 2157622620 |
| Mailing Telephone | 4046164473 |
| Mailing Fax Number | 2157622620 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
80924 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003211127A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 230 N Broad St, Philadelphia, PA 191021121 | 2157627000 | |
| 3595 Olentangy River Rd, Columbus, OH 432143440 | 6145665456 | 6145666902 |
| 3896 Princeton Lakes Way, Atlanta, GA 30331 | 4046161000 |
| Street Address |
49 JESSE HILL JR DR SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30303-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155074 | Marc D Thames | Internal Medicine | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2005-06-27 |
| 1740806652 | Wesley Gordon | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-06-17 |
| 1073132981 | Kaitlin M O'sullivan | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-10 |
| 1902425051 | Sandip Kaur Minhas | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-09 |
| 1265061725 | Thinh Hoang Nguyen | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-06 |
| 1902435613 | Farina Shafqat | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-04 |
| 1083243919 | Monika Marie Sullivan | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-03 |
| 1811526627 | Jacob Harris Levy | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-03 |
| 1164051983 | Neha Shukla | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-03 |
| 1194353383 | Vidya Menon | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597461 | Nanoresearch, Inc | Point of Service | 58 Edgewood Ave Ne, Suite 122, Collabtech., Gsu, Atlanta, GA 30303 | 2020-10-31 |
| 1952917155 | Alesha Deshay Elbert | Behavior Technician | 206 Peachstreet Ne Suite 2200, Atlanta, GA 30303 | 2020-09-22 |
| 1033759386 | Mark Bush | Case Manager/Care Coordinator | 50 Hurt Plaza Se Suite 1108, Atlanta, GA 30303 | 2020-01-14 |
| 1053965855 | Patrice Munsel Henry | Nurse Practitioner | 80 Jessie Hill Drive Se, Atlanta, GA 30303 | 2019-07-30 |
| 1356826564 | United States Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 260 Peachtree Street Nw, Suite 2200, Office 2228, Atlanta, GA 30303 | 2018-10-03 |
| 1336645290 | Joseph Bahng | Student in an Organized Health Care Education/Training Program | 69 Jesse Hill Jr Drive Se, Glenn Building, 4th Floor - 412b, Atlanta, GA 30303 | 2018-03-31 |
| 1841704707 | Amber Peach LLC | Family Medicine | 260 Peachtree St Nw Suite 2200, Atlanta, GA 30303 | 2017-11-29 |
| 1447778089 | Jasmine Williams | Behavioral Analyst | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-09-05 |
| 1982138236 | Mahek Dossani | Behavior Technician | 260 Peachtree Street Nw, Suite 2200, Atlanta, GA 30303 | 2017-04-13 |
| 1255872420 | Alexis Annick Auger | Behavior Technician | 260 Peachtree St. Nw, Suite 2200, Atlanta, GA 30303 | 2017-03-20 |
| Find all providers in zip 30303 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 |
|---|---|---|---|---|
| 1801194022 | Perimeter Spine and Rehabilitation LLC | Internal Medicine | 7100 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30328-1689 | 2011-03-11 |
| 1942234380 | Thomas Frederick Byars | Internal Medicine | 6 Executive Park Dr Ne, Atlanta, GA 30329-2221 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123251 | Emma Leonor Wheeler | Internal Medicine | 1136 Blue Jay Rd, Rincon, GA 31326-4927 | 2020-10-28 |
| 1174917744 | Brian Nicholas Brewer | Internal Medicine | 55 Carlton Street University Health Center, Athens, GA 30602-0001 | 2015-03-22 |
| 1457737769 | Fort Valley State University | Internal Medicine | 1005 State University Dr, Fort Valley, GA 31030-4313 | 2015-08-10 |
| 1346512357 | Lisa Marie Schulte | Internal Medicine | 1000 Chastain Rd Nw, Mailbox 0201, Kennesaw, GA 30144-5588 | 2012-02-07 |
| 1255562567 | Celestine Amuchie Nnaeto | Internal Medicine | 2227 Us Highway 41 N, Tifton, GA 31794-2749 | 2009-08-04 |
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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.