JOHN JOSEPH FRASER JR. (NPI# 1316989353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316989353 |
| Entity Type | Individual |
| Full Name | JOHN JOSEPH FRASER JR. |
| Credential | M.D. |
| Practice Address |
11398 Bandera Rd Ste 201 San Antonio TX 78250-6827 |
| Mailing Address |
301 University Blvd Provider Enrollment-rt. 1022 Galveston TX 77555-5302 |
| Practice Telephone | 2105437334 |
| Mailing Telephone | 4097470890 |
| Mailing Fax Number | 4097720885 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
F3966 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138402613 | 05 | |
| TX | 138402603 | 05 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 81Z135 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639334972 | John Fraser | Family Medicine | 1701 Raintree Rd, Fullerton, CA 92835-4042 | 2008-07-25 |
| 1417957440 | John J Fraser | Physical Therapist | 601 Mccain Blvd, Coronado, CA 92118 | 2005-08-01 |
| 1508325374 | John Fraser | Perfusionist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2019-03-19 |
| 1962804013 | John Fraser | Chiropractor | 2737 Campus Dr, Irvine, CA 92612-1602 | 2014-09-19 |
| 1730343039 | John Alexander Fraser | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2008-07-15 |
| 1013987270 | John C Fraser | Neurological Surgery | 3 Riverside Circle, Roanoke, VA 24016 | 2006-01-23 |
| Street Address |
11398 BANDERA RD STE 201 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78250-6827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944093 | Henrique Levcovitz | Pediatrics | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2005-07-07 |
| 1649745936 | Jasmine Alexandria Felder Flowers | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2018-10-12 |
| 1417432980 | Juan Jose Hilario | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2018-10-01 |
| 1831691971 | Claudia Guerra | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2018-03-05 |
| 1932600855 | Sarah Anne Goodson | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2018-02-26 |
| 1467823047 | Olga De Luna-demenev | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2015-10-08 |
| 1326417379 | Bethany Smyth | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2015-09-21 |
| 1699100412 | Wanda Jean Tamayo | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2013-09-11 |
| 1306173067 | Sheila S Salinas | Nurse Practitioner | 11398 Bandera Rd Ste 201, San Antonio, TX 78250 | 2009-11-17 |
| 1396976320 | Jade Garee-dexter | Pediatrics | 11398 Bandera Rd Ste 201, San Antonio, TX 78250-6827 | 2009-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504715 | Veronica Jolene Crenwelge | Licensed Vocational Nurse | 8218 Timber Grand, San Antonio, TX 78250 | 2020-09-25 |
| 1285299529 | Brenda Fernandez | Acupuncturist | 7623 Tezel Road, San Antonio, TX 78250 | 2019-05-02 |
| 1255855250 | Katie Elizabeth Hay | Pharmacist | 9255 Fm 471 W, San Antonio, TX 78250 | 2017-08-01 |
| 1093170086 | Urology Neuromonitoring, Pllc | Electrodiagnostic Medicine | 8407 Bandera Rd Ste 103-104, San Antonio, TX 78250 | 2015-12-18 |
| 1568843068 | Joseph Marvin Grote | Counselor | 8534 Timber Lodge, San Antonio, TX 78250 | 2015-06-11 |
| 1568801157 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 10715 Bandera Rd, San Antonio, TX 78250 | 2013-06-18 |
| 1619228947 | Urchna K. Morar | Optometrist | 9310 Guilbeau Rd, San Antonio, TX 78250 | 2012-09-26 |
| 1952666448 | Ec Bandera, LLC | Clinic/Center | 8703 Bandera Road, San Antonio, TX 78250 | 2012-07-10 |
| 1447512769 | Krystal Alexis Moya | Dentist | 8142 Tezel Road, San Antonio, TX 78250 | 2012-06-12 |
| 1497037683 | Lozie Bios | Registered Nurse | 9207 Ridgewilde, San Antonio, TX 78250 | 2011-09-13 |
| Find all providers in zip 78250 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356313126 | Esteban R Lopez | Emergency Medicine | 520 Madison Oak, North Central Baptist Children's Emergency Department, San Antonio, TX 78258-3913 | 2006-02-06 |
| 1528323797 | Robert James Stewart | Emergency Medicine | 7700 Floyd Curl Dr, San Antonio, TX 78229 | 2012-07-12 |
| 1972816692 | River City Pediatric Emergency Physicians, Pllc | Emergency Medicine | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2010-07-22 |
| 1164688966 | Olutola O. Adetona | Emergency Medicine | 9480 Huebner Rd, Suite 400, San Antonio, TX 78240-1655 | 2008-07-31 |
| 1023283637 | Robert Sanders | Emergency Medicine | 903 W Martin St, San Antonio, TX 78207 | 2008-04-24 |
| 1063615888 | Becky C Doran | Emergency Medicine | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2007-06-08 |
| 1659391878 | Serena L Phillips | Emergency Medicine | 8401 Datapoint Dr, Suite 500, San Antonio, TX 78229-5900 | 2006-07-20 |
| 1669415642 | Gerald Thomas Mayer | Emergency Medicine | 19223 Stonehue, San Antonio, TX 78258-3456 | 2006-06-14 |
| 1144270786 | Maria Suzanne Johnson | Emergency Medicine | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2006-05-12 |
| 1508814385 | Emergency Pediatric Physician Mgmt LLC | Emergency Medicine | 520 Madison Oak, Peds - Emergency Room, San Antonio, TX 78258-3913 | 2006-05-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78250 |
Please comment or provide details below to improve the information on JOHN JOSEPH FRASER JR..
| 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.