Frazier Earl Fyke Iii (NPI# 1780609362, PAC ID# 4284714452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1780609362 |
| PAC ID by PECOS | 4284714452 |
| Professional Enrollment ID | I20080806000447 |
| Full Name | Frazier Earl Fyke Iii |
| Organization Legal Name | MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC |
| Address |
501 Marshall St Suite 104 Jackson MS 39202-1663 |
| Phone Number | 6019696404 |
| Gender | M |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 1978 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1153216411 |
| Number of Group Practice Members | 177 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 501 Marshall St, Suite 104, Jackson, MS 39202-1663 | 6019696404 | MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC |
| Organization Legal Name | MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI INC |
| Physicians | 202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Will Gray | Physical Therapy | Medical Foundation of Central Mississippi Inc | 108 Clinton Pkwy, Clinton, MS 39056-4730 |
| Charvi N Patel | Family Medicine | Medical Foundation of Central Mississippi Inc | 1887 Spillway Rd, Brandon, MS 39047-6066 |
| Stephanie Keith | Physician Assistant | Medical Foundation of Central Mississippi Inc | 106 Clinton Pkwy, Clinton, MS 39056-4730 |
| Melissa Moore | Qualified Speech Language Pathologist | Medical Foundation of Central Mississippi Inc | 746 E Fifteenth St, Baptist Pt Yazoo, Yazoo City, MS 39194-2706 |
| Rebecca Pace | Endocrinology | Medical Foundation of Central Mississippi Inc | 1200 N State St, Suite 500, Jackson, MS 39202-2027 |
| Sarah Mason | Physician Assistant | Medical Foundation of Central Mississippi Inc | 2173 Main St, Madison, MS 39110-6309 |
| Robbin Lee | Physical Therapy | Medical Foundation of Central Mississippi Inc | 4301 Lakeland Dr, Flowood, MS 39232-8947 |
| Sharon Thompson | Physical Therapy | Medical Foundation of Central Mississippi Inc | 7273 S Siwell Rd, Baptist Pt Byram, Jackson, MS 39272-9767 |
| Tiffany Sutton | Physical Therapy | Medical Foundation of Central Mississippi Inc | 6250 Old Canton Rd, Jackson, MS 39211-2946 |
| Lucius F Sams | Internal Medicine | Medical Foundation of Central Mississippi Inc | 3011 Greenfield Rd, Pearl, MS 39208-8712 |
| Street Address |
501 MARSHALL ST SUITE 104 |
| City | JACKSON |
| State | MS |
| Zip | 39202-1663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
| Brittany A Little | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Robert W Naef | Obstetrics/gynecology | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 | |
| Ashley M Johnson | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 501 Marshall St, Suite 400, Jackson, MS 39202-1687 |
| Lindsey B Lassiter | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Laurie S Nimon | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Raymond L Portis | Internal Medicine | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Bedear Petro | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Amanda Leigh Ellis | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Steven E Speights | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Sabra Sullivan | Dermatology | 501 Marshall St, Suite 606, Jackson, MS 39202-1650 | |
| Robert L Harris | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
| Find all physicians in zip 39202 | |||
| City | JACKSON |
| Zip Code | 39202 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | JACKSON + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Frazier Earl Fyke Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.