MARY FRAZIER (NPI# 1205825379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205825379 |
| Entity Type | Individual |
| Full Name | MARY FRAZIER |
| Credential | M.D. |
| Practice Address |
2855 N Keystone Ave Suite 100 Indianapolis IN 46218-2789 |
| Mailing Address |
3401 E Raymond St Indianapolis IN 46203-4744 |
| Practice Telephone | 3179205760 |
| Practice Fax Number | 3179205768 |
| Mailing Telephone | 3177889769 |
| Mailing Fax Number | 3177814868 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01059801A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200510350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740571223 | Mary E. Frazier | Social Worker | 569 Forest Glen Dr, Fontana, WI 53125-1558 | 2011-05-02 |
| 1396950150 | Mary Linda Frazier | Licensed Practical Nurse | 1972 State Route 139, Portsmouth, OH 45662-8857 | 2007-05-14 |
| 1972554640 | Mary Ellen Frazier | Psychologist | 834 Anchor Rode Dr, Naples, FL 34103-2739 | 2006-05-15 |
| 1588202360 | Mary Carol Frazier | Case Manager/Care Coordinator | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2019-12-12 |
| 1255776654 | Mary M Frazier | Specialist | 64 Main St, Keene, NH 03431-3701 | 2013-04-30 |
| 1497985840 | Mary Frazier | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2009-07-20 |
| 1609068279 | Mary Ann Frazier | Pharmacist | 14525 Mack Ave, Suite A, Detroit, MI 48215-2520 | 2007-08-16 |
| 1851325187 | Mary Louise Frazier | Speech-Language Pathologist | 14820 E 4th Ave, Spokane Valley, WA 99216-2165 | 2006-07-11 |
| Street Address |
2855 N KEYSTONE AVE SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-2789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053308056 | Chrystal Lynn Anderson | Family Medicine | 2855 N Keystone Ave, Indianapolis, IN 46218-2790 | 2005-10-04 |
| 1659613727 | Julie K Doering | Pediatrics | 2855 N Keystone Ave, Indianapolis, IN 46218-2789 | 2013-03-26 |
| 1356618169 | Laura Jay-ballinger | Counselor | 2855 N Keystone Ave, Suite 100, Indianapolis, IN 46218-2789 | 2011-11-22 |
| 1982831160 | Stefanie Ann Smith | Pediatrics | 2855 N Keystone Ave, Suite 100, Indianapolis, IN 46218-2789 | 2009-06-16 |
| 1972793800 | Kiersa Diane Durfee | Obstetrics & Gynecology | 2855 N Keystone Ave, #100, Indianapolis, IN 46218-2789 | 2007-07-26 |
| 1033313325 | Ann Susan Wojtalik | Pediatrics | 2855 N Keystone Ave, 100, Indianapolis, IN 46218-2789 | 2007-06-12 |
| 1518029842 | Consuelo U Hunt | Pediatrics | 2855 N Keystone Ave, 100, Indianapolis, IN 46218-2789 | 2006-12-14 |
| 1982773164 | Melissa Inpanbutr-martinkus | Family Medicine | 2855 N Keystone Ave, Suite 100, Indianapolis, IN 46218-2789 | 2006-11-06 |
| 1780634964 | Healthnet, Inc. | Clinic/Center | 2855 N Keystone Ave, Ste 100, Indianapolis, IN 46218-2790 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1134765993 | Basil Vareldzis | Family Medicine | 9125 Nautical Watch Dr, Indianapolis, IN 46236-9036 | 2019-11-26 |
| 1366084329 | Rebekah Venable | Family Medicine | 5455 W 86th St Ste 210, Indianapolis, IN 46268-1530 | 2019-10-11 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1386150043 | Brengle Family Medicine | Family Medicine | 8803 N Meridian St Ste 350, Indianapolis, IN 46260-5386 | 2017-12-18 |
| 1164937249 | Amy Cheung | Family Medicine | 6484 N Chester Ave, Indianapolis, IN 46220-4422 | 2017-12-11 |
| 1578017182 | Medical Specialty LLC | Family Medicine | 2301 N Meridian St, Indianapolis, IN 46208-5729 | 2016-08-11 |
| 1245685742 | Christopher Basom | Family Medicine | 8501 E 56th St Ste 120, Indianapolis, IN 46216-2118 | 2016-05-03 |
| 1760846877 | Catherine Gambale Trigonis | Family Medicine | 404 E Washington St Ste A, Indianapolis, IN 46204 | 2016-04-06 |
| 1205204203 | Community Health Network | Family Medicine | 1643 E Hanna Ave, Ste 108, Indianapolis, IN 46227-3655 | 2015-09-08 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
Please comment or provide details below to improve the information on MARY FRAZIER.
| 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.