MR. JOHN PHILLIP FRASURE (NPI# 1093787400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093787400 |
| Entity Type | Individual |
| Full Name | MR. JOHN PHILLIP FRASURE |
| Credential | PA-C |
| Practice Address |
208 Haley Rd Johnson City TX 78636-4617 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 8308684033 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05105 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1049273 | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | PA05105 | 01 |
| Street Address |
208 HALEY RD |
| City | JOHNSON CITY |
| State | TX |
| Zip Code | 78636-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528009 | Scott & White Hospital - Marble Falls | Clinic/Center | 208 Haley Rd, Johnson City, TX 78636-4617 | 2019-06-25 |
| 1639511207 | Scott & White Hospital - Marble Falls | Clinic/Center | 208 Haley Rd, Johnson City, TX 78636 | 2013-07-24 |
| 1598080160 | Melinda K Pemberton | Nurse Practitioner | 208 Haley Rd, Johnson City, TX 78636-4617 | 2010-04-07 |
| 1154475150 | David Allan White | Dentist | 208 Haley Rd, Johnson City, TX 78636-0421 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528541141 | Berg & Florio Od Pa Johnson City | Optometrist | 213 S Highway 281, Suite A, Johnson City, TX 78636 | 2018-09-10 |
| 1801026638 | Txex Med LLC | Pharmacy | 405 Hwy 281 South, Johnson City, TX 78636 | 2009-07-14 |
| 1518901149 | Medical Pumps & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 878 Ranch Road 2766, Johnson City, TX 78636 | 2006-06-15 |
| 1164649802 | Mary Kathryn Hagemeier | Dentist | 400 East Main Street, Johnson City, TX 78636 | 2007-04-20 |
| 1023086063 | North Blanco County Emergency Medical Services, Inc. | Ambulance | 105 Bill Watson Drive, Johnson City, TX 78636-0557 | 2006-03-08 |
| 1578763900 | Mary Elizabeth Eilers | Nurse Practitioner | 1100 Lindig Ln, Johnson City, TX 78636-4489 | 2007-07-24 |
| 1013971548 | Paul Jay Mckee | Anesthesiology | 780 Ranch Road 2721, Johnson City, TX 78636-4589 | 2006-04-13 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1447860192 | Kasey Smith | Counselor | 2349 Ranch Road 1323, Johnson City, TX 78636-4787 | 2020-08-07 |
| 1326024464 | Bruce A. Bottcher | Chiropractor | 405 S Us Highway 281, Suite 101-c, Johnson City, TX 78636-4950 | 2005-12-20 |
| Find all providers in zip 78636 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616590 | Brenda L Rankhorn | Physician Assistant | 402 Brookwood Dr, Johnson City, TN 37615-4924 | 2020-07-09 |
| 1336706183 | Andrew Thomas Rogers | Physician Assistant | 401 E Watauga Ave, Johnson City, TN 37601-4036 | 2019-05-28 |
| 1750859831 | Bethany Marie Zakrzewski | Physician Assistant | 410 N State of Franklin Rd Ste 120, Johnson City, TN 37604-6972 | 2018-11-07 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1417453440 | Blue Ridge Medical Management Corpoartion | Physician Assistant | 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 | 2018-03-30 |
| 1083082838 | Amber Dykes | Physician Assistant | 119 Boone Ridge Dr Ste 201, Johnson City, TN 37615-8000 | 2015-09-10 |
| 1720336712 | Amy C Flint | Physician Assistant | 303 Med Tech Pkwy Ste 150, Johnson City, TN 37604-2394 | 2012-08-22 |
| 1568779155 | Tracy Mcwhorter Martino | Physician Assistant | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2010-09-03 |
| 1932430741 | Lisa M Adams | Physician Assistant | 1301 Sunset Drive, Suite 3, Johnson City, TN 37604 | 2010-01-18 |
| 1265594618 | Whitney Diane Davis | Physician Assistant | 2514 Wesley St Ste 102, Johnson City, TN 37601-1764 | 2006-12-14 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 78636 |
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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.