DR. JOHN TEMPLE FRAKER (NPI# 1205822384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205822384 |
| Entity Type | Individual |
| Full Name | DR. JOHN TEMPLE FRAKER |
| Credential | M.D. |
| Practice Address |
4211 Vandyke Road Suite 200 Lutz FL 33558-8002 |
| Mailing Address |
4902 Eisenhower Blvd. Suite 300 Tampa FL 33634-6344 |
| Practice Telephone | 8132646490 |
| Practice Fax Number | 8132868835 |
| Mailing Telephone | 8136362000 |
| Mailing Fax Number | 8132868835 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ME72120 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 023179886 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215065 | John Hunter Fraker Jr. | Student in an Organized Health Care Education/Training Program | 3800 Reservoir Rd Nw Dept Of, Washington, DC 20007-2113 | 2019-03-20 |
| Street Address |
4211 VANDYKE ROAD SUITE 200 |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344246 | Bill E Barry | Surgery | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2005-05-24 |
| 1396937207 | Jennifer Rebecca Coe | Internal Medicine | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8005 | 2007-08-14 |
| 1497857874 | Hannie Chiragie Patel | Internal Medicine | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8005 | 2006-09-05 |
| 1023041126 | Quan Dinh Tran | Surgery | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2006-07-09 |
| 1033152087 | Yun Tae Chang | Internal Medicine | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8005 | 2006-06-14 |
| 1467424408 | William Adolf Haas | Family Medicine | 4211 Vandyke Road, Suite 101b, Lutz, FL 33558-8005 | 2006-02-03 |
| 1861473605 | John C Chan | Orthopaedic Surgery | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2005-11-09 |
| 1487635652 | Paul A Lunseth | Orthopaedic Surgery | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2005-11-07 |
| 1336142736 | Forrest C. Haslup | Surgery | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2005-05-31 |
| 1588667984 | Rahmatullah Fayiz | Internal Medicine | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2005-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
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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.