MATTHEW SHANE FRAZIER (NPI# 1598977944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598977944 |
| Entity Type | Individual |
| Full Name | MATTHEW SHANE FRAZIER |
| Credential | DO |
| Practice Address |
1055 N 500 W Suite 207 Provo UT 84604-3305 |
| Mailing Address |
1055 N 500 W Credentialing Department Provo UT 84604-3305 |
| Practice Telephone | 8013754263 |
| Practice Fax Number | 8014298085 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 5101015712 | MI | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
324956-1204 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366802365 | Matthew Frazier | General Practice | 2305 Central Rd, Glenview, IL 60025-4270 | 2016-03-03 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1992931661 | Matthew J Frazier | Family Medicine | 3259 S Wells Street, Chicago, IL 60616 | 2009-06-08 |
| 1891335733 | Matthew Frazier | Physical Therapist | 1165 Monarch St, Lexington, KY 40513-1979 | 2020-01-08 |
| 1558708149 | Matthew Thomas Frazier | Pharmacist | 2521 College Ave, Conway, AR 72034-6135 | 2013-05-23 |
| Street Address |
1055 N 500 W SUITE 207 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223835 | Bruce C Mcallister | Specialist | 1055 N 500 W, Suite 102, Provo, UT 84604-3305 | 2005-05-27 |
| 1922641448 | Lilian Silva Dana | Nurse Practitioner | 1055 N 500 W, Suite. 222, Bldg. C, Provo, UT 84604 | 2019-10-28 |
| 1407373574 | Kristie Christensen | Nurse Practitioner | 1055 N 500 W, Ste 101, Bldg C, Provo, UT 84604-3305 | 2017-08-29 |
| 1942664867 | Holly Ann Bishop Michaels | Dietitian, Registered | 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-3305 | 2016-04-06 |
| 1841650967 | Maile Yuzon | Physician Assistant | 1055 N 500 W, Ste 212, Provo, UT 84604-3305 | 2016-03-02 |
| 1497127658 | Kayla Hamrick Lussier | Nurse Practitioner | 1055 N 500 W, Suite 212, Provo, UT 84604-3305 | 2015-10-28 |
| 1962873281 | Ryan Francis | Nurse Practitioner | 1055 N 500 W, Ste 121, Provo, UT 84604-3305 | 2015-10-13 |
| 1083082283 | Leslee Ronald Adams | Registered Nurse | 1055 N 500 W, Ste 211, Provo, UT 84604-3305 | 2015-09-04 |
| 1750763629 | Cydne Suzannah Baird Evans | Physician Assistant | 1055 N 500 W, Ste 100, Provo, UT 84604-3305 | 2015-06-26 |
| 1073903720 | Rosanne Johnson Oliver | Nurse Practitioner | 1055 N 500 W, Ste 205, Provo, UT 84604-3305 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205939089 | Curtis C Johnson | Orthopaedic Surgery | 1055 N 500 W Ste 207, Provo, UT 84604-3305 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932261005 | Robert H Horne | Orthopaedic Surgery | 3015 Mount Jordan Rd, Sandy, UT 84092-3384 | 2006-12-15 |
| 1417268368 | David Erik Peterson | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2010-06-25 |
| 1629210372 | Sidney Lincoln Baucom | Orthopaedic Surgery | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2009-03-26 |
| 1346491917 | Laird S Swensen | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2008-10-01 |
| 1891952545 | Valerie Marie Wolfe | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2008-05-20 |
| 1104000637 | Allen R Groebs Md PC | Orthopaedic Surgery | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 | 2007-12-19 |
| 1275714115 | William Frederick Gowski | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2007-11-20 |
| 1558550319 | Cache Orthopaedics PC | Orthopaedic Surgery | 2380 N 400 E, Ste G, Logan, UT 84341-1749 | 2007-10-17 |
| 1750599171 | Jonathan A Donigan | Orthopaedic Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2007-05-18 |
| 1356470033 | Brett Evan Richards | Orthopaedic Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2007-03-05 |
| Find all providers with the same taxonomy | ||||
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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.