JEFFREY P FRASER (NPI# 1740292762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740292762 |
| Entity Type | Individual |
| Full Name | JEFFREY P FRASER |
| Credential | DO |
| Practice Address |
1720 E. Venice Avenue Venice FL 34292 |
| Mailing Address |
1720 E Venice Ave 2nd Flr Venice FL 34292-3190 |
| Practice Telephone | 9414839730 |
| Practice Fax Number | 9414839745 |
| Mailing Telephone | 9414839730 |
| Mailing Fax Number | 9414839745 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS8974 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 81648 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790792380 | Jeffrey L Fraser | Family Medicine | 2641 S 70th St, Ste A, Lincoln, NE 68506-2912 | 2006-08-03 |
| 1356398622 | Jeffrey Robert Fraser | Physical Therapist | 6298 Veterans Pkwy, Suite 5a, Columbus, GA 31909-6258 | 2006-05-30 |
| 1528029576 | Jeffrey Robert Fraser | Social Worker | 1322 North River Road, Norserv Group, Saint Clair, MI 48079 | 2006-03-29 |
| 1619930716 | Jeffrey Lynn Fraser | Psychiatry & Neurology | 751 S Bascom Ave, Neurology Department, San Jose, CA 95128-2604 | 2006-04-10 |
| Street Address |
1720 E. VENICE AVENUE |
| City | VENICE |
| State | FL |
| Zip Code | 34292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780798900 | Neetha G Sallapudi | Family Medicine | 1720 E. Venice Avenue, Venice, FL 34292 | 2006-08-17 |
| 1023121829 | William J Schulte | Internal Medicine | 1720 E. Venice Avenue, Venice, FL 34292 | 2006-08-16 |
| 1568575710 | Laura S Rainer | Internal Medicine | 1720 E. Venice Avenue, Venice, FL 34292 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060473 | Rhc Venice LLC | Family Medicine | 333 Tamiami Trl S Ste 203, Venice, FL 34285-2424 | 2020-10-13 |
| 1679123111 | Emily Kathleen Presmanes | Family Medicine | 248 Ruth Ave, Venice, CA 90291-2712 | 2019-09-17 |
| 1316461486 | Dr Gibertinis Home Care Pllc | Family Medicine | 3048 Grey Heron Cir, Venice, FL 34293-1404 | 2017-08-01 |
| 1457883381 | Sophia Gail Ciaravino | Family Medicine | 2446 Laurel Rd, Venice, FL 34275-3204 | 2017-03-30 |
| 1679937965 | Good Business LLC | Family Medicine | 808 E Venice Ave, Venice, FL 34285-7039 | 2016-04-12 |
| 1033570809 | Dr. Ralph H. Rusco Jr. | Family Medicine | 807 Us Highway 41 Byp S, Venice, FL 34285-4360 | 2016-03-08 |
| 1780018564 | William Stuart Weil | Family Medicine | 1825 Ocean Front Walk, Venice, CA 90290 | 2013-08-28 |
| 1346426632 | Gill Family Medicine Pl | Family Medicine | 425 Commercial Ct Ste 112, Venice, FL 34292-1642 | 2008-01-16 |
| 1215038856 | Coley M King | Family Medicine | 604 Rosse Ave., Venice, CA 90291 | 2006-09-26 |
| 1326144833 | Rick Simovitz | Family Medicine | 722 The Rialto, Venice, FL 34285-3524 | 2006-09-15 |
| Find all providers in VENICE | ||||
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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.