JON DURWOOD FRAZIER (NPI# 1679572507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679572507 |
Entity Type | Individual |
Full Name | JON DURWOOD FRAZIER |
Credential | MD |
Practice Address |
700 N Burkhardt Rd Evansville IN 47715-2740 |
Mailing Address |
Po Box 2368 Indianapolis IN 46206-2368 |
Practice Telephone | 8124741110 |
Practice Fax Number | 8124741303 |
Mailing Telephone | 8124741110 |
Mailing Fax Number | 8124741303 |
Enumeration Date | 2005-07-21 |
Last Update Date | 2015-06-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
01042819 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100387080 | 05 | |
KY | 64030752 | 05 | |
RR MEDICARE | P00394815 | 01 | |
IN | RR MEDICARE TROC | P00724152 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134472657 | Jon M Frazier | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Ste 211, Wausau, WI 54401-4123 | 2012-10-22 |
Street Address |
700 N BURKHARDT RD |
City | EVANSVILLE |
State | IN |
Zip Code | 47715-2740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184243289 | Caroline Niemeier | Nurse Practitioner | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2020-04-09 |
1285109413 | Mariah Atkinson | Nurse Practitioner | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2018-10-03 |
1225274244 | Tri-state Radiation Oncology Centers LLC | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2008-12-22 |
1205885316 | Therapy Associates Inc | Nurse Practitioner | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-05-08 |
1891758272 | Shannon S Lamb | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-04-07 |
1588626576 | Crystal D. Reed | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-04-05 |
1609859446 | Alvin N/a Korba | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-11-25 |
1124001961 | Aly A. Razek | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-11-25 |
1962497107 | Noah A Taylor | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
Find all providers in zip 47715 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225274244 | Tri-state Radiation Oncology Centers LLC | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2008-12-22 |
1891758272 | Shannon S Lamb | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-04-07 |
1588626576 | Crystal D. Reed | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-04-05 |
1609859446 | Alvin N/a Korba | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-11-25 |
1124001961 | Aly A. Razek | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-11-25 |
1962497107 | Noah A Taylor | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336607555 | Cancer Specialists LLC | Radiology | 600 Vale Park Rd N Unit A, Valparaiso, IN 46383-2546 | 2019-03-06 |
1811376759 | Namita Agrawal | Radiology | 3420 Dubois St, West Lafayette, IN 47906-7200 | 2015-05-26 |
1194982512 | Jennifer Elizabeth Fisher | Radiology | 1340 N. Madison, Anderson, IN 46011-1216 | 2008-05-22 |
1548439938 | Cancer Care Group, P.C. | Radiology | 1600 Lafayette Rd, Crawfordsville, IN 47933-1031 | 2008-02-29 |
1659491132 | Cancer Care Group, P.C. | Radiology | 6100 W 96th St Ste 125, Indianapolis, IN 46278-6006 | 2007-03-30 |
1851411946 | Cancer Care Group, P.C. | Radiology | 11725 Illinois Street, Suite Ll050, Carmel, IN 46032-3008 | 2007-03-30 |
1265527329 | Stanley Scot Givens | Radiology | 8244 East Us 36, Avon, IN 46123 | 2006-10-04 |
1598850653 | Robert Howard Liebross | Radiology | 8402 Harcourt Road, Suite 721, Indianapolis, IN 46260 | 2006-10-04 |
1205949252 | Heartland Radiation Oncology | Radiology | 1159 W Jefferson St, Franklin, IN 46131-2794 | 2006-08-16 |
1356373526 | Eileen F Mcgarvey | Radiology | 621 West St, Madison, IN 47250-3344 | 2006-07-07 |
Find all providers with the same taxonomy |
City | EVANSVILLE |
Zip Code | 47715 |
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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.