James Russell Fraser Iii (NPI# 1780057778, PAC ID# 5698075398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1780057778 |
| PAC ID by PECOS | 5698075398 |
| Professional Enrollment ID | I20151202001771 |
| Full Name | James Russell Fraser Iii |
| Organization Legal Name | COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC |
| Address |
279 Sw Main Blvd Lake City FL 32025-7050 |
| Phone Number | 3867524313 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1456637479 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 279 Sw Main Blvd, Lake City, FL 32025-7050 | 3867524313 | COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC |
| Organization Legal Name | COLUMBIA COUNTY CHIROPRACTIC CENTER, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrel T Mathis | Chiropractic | Columbia County Chiropractic Center, LLC | 279 Sw Main Blvd, Lake City, FL 32025-7050 |
| Street Address |
279 SW MAIN BLVD |
| City | LAKE CITY |
| State | FL |
| Zip | 32025-7050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrel T Mathis | Chiropractic | Columbia County Chiropractic Center, LLC | 279 Sw Main Blvd, Lake City, FL 32025-7050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly C Herring | Clinical Social Worker | 871 Sw State Rd, Suite 47, Lake City, FL 32025-0433 | |
| Charles M Varghese | Cardiovascular Disease (cardiology) | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | |
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Vijay M. Patel | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 495 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Donald Brent Hayden | General Practice | 733 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Eric Marquez | Obstetrics/gynecology | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Find all physicians in zip 32025 | |||
| City | LAKE CITY |
| Zip Code | 32025 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LAKE CITY + CHIROPRACTIC |
Please comment or provide details below to improve the information on James Russell Fraser 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.