MR. RYAN FRAZER (NPI# 1396282877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396282877 |
| Entity Type | Individual |
| Full Name | MR. RYAN FRAZER |
| Practice Address |
1920 E 2nd St Apt 3208 Edmond OK 73034-6382 |
| Practice Telephone | 8162622504 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720457351 | Ryan Frazer | Family Medicine | 4350 N 19th Ave Ste 6, Phoenix, AZ 85015 | 2015-09-24 |
| Street Address |
1920 E 2ND ST APT 3208 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497672 | Colton Want | Student in an Organized Health Care Education/Training Program | 833 San Simeon Dr, Edmond, OK 73003-5943 | 2020-11-06 |
| 1952910143 | Andrew Young | Student in an Organized Health Care Education/Training Program | 1417 Harding Ave, Edmond, OK 73013-6365 | 2020-07-24 |
| 1962024638 | Maaz Khan | Student in an Organized Health Care Education/Training Program | 513 Nw 156th Cir, Edmond, OK 73013-2087 | 2020-05-15 |
| 1942821608 | Shanna Lynne Rolfs | Student in an Organized Health Care Education/Training Program | 1825 Mission Rd, Edmond, OK 73034-6580 | 2020-05-04 |
| 1962023648 | Melissa Onyekuru | Student in an Organized Health Care Education/Training Program | 1720 Nw 179th St, Edmond, OK 73012-4151 | 2020-05-04 |
| 1609497437 | Zachary Scott Windorf | Student in an Organized Health Care Education/Training Program | 7107 Hollow Brook Dr, Edmond, OK 73025-1854 | 2020-05-04 |
| 1275154072 | Raza Khan | Student in an Organized Health Care Education/Training Program | 216 Nw 151st Pl, Edmond, OK 73013-1163 | 2020-05-03 |
| 1164043964 | India Alexandra Loyd | Student in an Organized Health Care Education/Training Program | 1204 Copper Rock Dr, Edmond, OK 73025-2940 | 2020-05-03 |
| 1902427701 | Kelsi Pat Fitzgerrald Williams | Student in an Organized Health Care Education/Training Program | 12924 S Santa Fe Ave, Edmond, OK 73025-1589 | 2020-05-03 |
| 1306467105 | Sawyer Vaclaw | Student in an Organized Health Care Education/Training Program | 14025 N Eastern Ave Apt 2621, Edmond, OK 73013-3512 | 2020-05-03 |
| Find all providers in EDMOND | ||||
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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.