CHARLES H. FRAGA (NPI# 1487097002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487097002 |
| Entity Type | Individual |
| Full Name | CHARLES H. FRAGA |
| Credential | M.D. |
| Practice Address |
4250 Bethel Rd Olive Branch MS 38654-8737 |
| Mailing Address |
P O Box 1000 Dept 351 Memphis TN 38148-0001 |
| Practice Telephone | 9015161290 |
| Practice Fax Number | 9015161220 |
| Mailing Telephone | (901) 758-9900 |
| Mailing Fax Number | 9017522335 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 25053 | MS | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD55513 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 262 Danny Thomas Place, Ms#810, St. Jude Children's Research Hospital, Memphis, TN 38105 | 9015952340 | 9015950912 |
| 7691 Poplar Ave, Germantown, TN 381383904 | 9015161290 | 9015161220 |
| Street Address |
4250 BETHEL RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952356206 | Scott Wood Kirsch | Family Medicine | 4250 Bethel Rd, Olive Branch, MS 38654 | 2006-05-24 |
| 1174143929 | Robin Van Nortwick | Speech-Language Pathologist | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2020-04-22 |
| 1710529888 | Brittany Alaina Crowell Miller | Registered Nurse | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2019-10-10 |
| 1578923371 | Kristin Cox Spence | Nurse Practitioner | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2016-03-07 |
| 1316307366 | Terricka Latrease Bailey | Nurse Practitioner | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2016-03-03 |
| 1093191751 | Queen Mcghee | Nurse Practitioner | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2015-08-05 |
| 1093122210 | Denice Kildow | Physician Assistant | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2014-07-21 |
| 1174930259 | Leann Nicole Gatewood | Physician Assistant | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2014-07-21 |
| 1215347349 | Douglas Thaggard | Hospitalist | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2014-04-28 |
| 1255752283 | Neha Patel | Physician Assistant | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2013-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215347349 | Douglas Thaggard | Hospitalist | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282788 | Select Speciatly Hospital - Gulf Coast, Inc. | Hospitalist | 1520 Broad Avenue, Guflport, MS 39500 | 2016-09-01 |
| 1235329038 | River Oaks Management Company, LLC | Hospitalist | 1850 Chadwick Drive, Jackson, MS 39204-3404 | 2007-07-27 |
| 1568652352 | Crossgates Hma Medical Group, LLC | Hospitalist | 350 Crossgates Boulevard, Brandon, MS 39042-2601 | 2007-07-27 |
| 1407946122 | River Oaks Management Co. Inc. | Hospitalist | 2500 Flowood Drive, Suite 402, Flowood, MS 39232-1196 | 2006-10-13 |
| 1386684199 | Natchez Hma Physician Management LLC | Hospitalist | 150 Jefferson Davis Blvd, Suite 140, Natchez, MS 39120-5107 | 2006-06-08 |
| 1821638578 | Relias Hospitalist Medicine Specialists of West Point LLC | Hospitalist | 150 Medical Center Dr, West Point, MS 39773-0428 | 2020-01-10 |
| 1205470796 | Relias Hospitalist Medicine Specialists of Amory LLC | Hospitalist | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2019-10-29 |
| 1669028130 | Leake Emergency Group, LLC | Hospitalist | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2019-08-12 |
| 1205499639 | Dobbs Emergency Group, LLC | Hospitalist | 140 Burke Calhoun City Rd, Calhoun City, MS 38916-9690 | 2019-04-22 |
| 1528560281 | Venture Hospitalist, LLC | Hospitalist | 301 8th Ave Sw, Magee, MS 39111-3967 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
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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.