FRAZIER EARL FYKE III


Address: 501 Marshall St, Ste 104, Jackson, MS 39202-1651
Phone: 6019696404

FRAZIER EARL FYKE III (NPI# 1780609362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780609362
Entity Type Individual
Full Name FRAZIER EARL FYKE III
Credential M.D.
Practice Address 501 Marshall St
Ste 104
Jackson
MS 39202-1651
Mailing Address 965 Ridge Lake Blvd Ste 103
Memphis
TN 38120-9446
Practice Telephone 6019696404
Practice Fax Number 6019734541
Mailing Telephone 9012273255
Mailing Fax Number 9012278591
Enumeration Date 2006-07-13
Last Update Date 2018-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
10477 MS Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
10477 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00116537 05

Office Location

Street Address 501 MARSHALL ST
STE 104
City JACKSON
State MS
Zip Code 39202-1651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932176641 Sabra Sullivan Dermatology 501 Marshall St, Suite 606, Jackson, MS 39202-1651 2006-03-01
1598328684 Caroline Douglass Peeples Registered Nurse 501 Marshall St, Jackson, MS 39202-1651 2019-04-15
1548655053 Mississippi Urology Outpatient Surgery Center, LLC Clinic/Center 501 Marshall St, Suite 201, Jackson, MS 39202-1651 2015-04-01
1639586076 Baptist Heart Internal Medicine 501 Marshall St, Suite 104, Jackson, MS 39202-1651 2014-07-17
1568709574 Medical Foundation of Central Ms Surgery 501 Marshall St, Suite 500, Jackson, MS 39202-1651 2013-01-10
1417291451 Urogyn Diagnostics LLC Obstetrics & Gynecology 501 Marshall St, Suite 600, Jackson, MS 39202-1651 2012-11-15
1548513617 Southeast Urogyn LLC Obstetrics & Gynecology 501 Marshall St, Suite 600, Jackson, MS 39202-1651 2012-10-26
1477825800 The Medical Foundation of Central Mississippi Clinic/Center 501 Marshall St, Suite 100, Jackson, MS 39202-1651 2012-02-01
1265712145 Laurie Selman Nimon Nurse Practitioner 501 Marshall St, Suite 600, Jackson, MS 39202-1651 2011-08-23
1992034771 Southeast Urogynecology Pa Urology 501 Marshall St, Suite 607-a, Jackson, MS 39202-1651 2009-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467494070 Apex Cardiology PC Internal Medicine 327 Summar Dr, Jackson, TN 38301-3930 2006-06-11
1053970624 Jackson Cardiology Consultants Pllc Internal Medicine 205 Page Ave, Jackson, MI 49201-2462 2019-06-07
1053873133 Cms Care of Ms, LLC Internal Medicine 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 2019-04-05
1497292361 W.a. Foote Memorial Hospital, Inc Internal Medicine 205 N. East Ave, Jackson, MI 49201 2017-01-30
1841602257 Mississippi Vascular Center, Pllc Internal Medicine 571 E Beasley Rd, Jackson, MS 39206-3042 2014-05-20
1629207170 Shawn Sanders Internal Medicine 501 Marshall St Ste 104, Jackson, MS 39202-1663 2009-07-06
1558523464 Montoya Taylor Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2008-07-01
1679506547 Tommy L. Miller IIi Internal Medicine 48 Medical Center Dr, Jackson, TN 38301-3947 2006-07-07
1811939424 Henry K S Lui Internal Medicine 327 Summar Dr, Jackson, TN 38301-3930 2006-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134761786 Cardiovascular Health Center Pllc Internal Medicine 4211 Hospital St Ste 202, Pascagoula, MS 39581-5310 2019-10-16
1497224174 Fusion Vascular, LLC Internal Medicine 800 Pearman Ave, Cleveland, MS 38732-3502 2018-11-25
1679730329 Foluso A Fakorede Internal Medicine 800 N Pearman Ave, Cleveland, MS 38732-3502 2008-05-20
1073617775 Jimmy Darrell Sneed Internal Medicine 391 Southcrest Cir Ste 200, Southaven, MS 38671-6729 2006-09-12
1245214196 Hemraj R. Makwana Internal Medicine 520 Willowbrook Rd, Columbus, MS 39705-2015 2005-12-05
1720087257 Joon K Chang Internal Medicine 255 Baptist Blvd, Ste. 401, Columbus, MS 39705-2011 2005-07-18
1154989689 King and Associates Cardiology Pllc Internal Medicine 2323 5th St N, Columbus, MS 39705-2213 2019-05-30
1760975692 Fusion Vascular Center, LLC Internal Medicine 800 Pearman Ave, Cleveland, MS 38732 2018-06-14
1356712848 Cardiovascular Solutions of Central Ms Pa Internal Medicine 800 N Pearman Ave, Cleveland, MS 38732-3502 2015-10-09
1427439348 Corinth Cardiovascular Care, Pllc Internal Medicine 2427 Proper St, Corinth, MS 38834-5394 2015-06-16
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Competitor

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City JACKSON
Zip Code 39202

Improve Information

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Dataset Information

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.

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