CHARLES D. FRASER (NPI# 1104906452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104906452 |
| Entity Type | Individual |
| Full Name | CHARLES D. FRASER |
| Credential | MD |
| Practice Address |
4900 Mueller Blvd Austin TX 78723 |
| Mailing Address |
6621 Fannin St Houston TX 77030-2303 |
| Practice Telephone | 8553240091 |
| Practice Fax Number | 5123807532 |
| Mailing Telephone | 8328265731 |
| Mailing Fax Number | 8328251904 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
G8840 | TX | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G8840 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 133148001 | 05 | |
| TX | CSHCN | 133148004 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1982024097 | Charles Duncan Fraser IIi | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Tower 110, Baltimore, MD 21287-0010 | 2014-04-16 |
| Street Address |
4900 MUELLER BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102175 | Cathleen M. Havemann | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2005-05-23 |
| 1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
| 1205449469 | Audrey Cortesi | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-08-27 |
| 1134746902 | Catherine Dusing | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1003433863 | Kaitlyn Mosher | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-06-28 |
| 1558980656 | Devika Pillay | Pediatrics | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-04-09 |
| 1801429550 | Ashley Griffin | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-02-20 |
| 1770123093 | Anika Lockhart | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-01-14 |
| 1417594102 | Rebecca J Blackwell | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-12-02 |
| 1861037038 | Rachel Annette Cano Brendlinger | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2019-11-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003132192 | Sara E Mendoza Crespo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4900 Mueller Blvd Ste 3s.003, Austin, TX 78723-3079 | 2010-04-14 |
| 1720010184 | Capital Cardiothoracic Surgeons Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6500 N Mopac Expwy, Ste 2207, Austin, TX 78731-3285 | 2006-07-07 |
| 1801887864 | William Chance Conner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1010 W 40th St, Austin, TX 78756-4010 | 2005-10-31 |
| 1346691458 | Ziv Beckerman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4900 Mueller Blvd, Austin, TX 78723 | 2016-06-29 |
| 1104228162 | Reginald C Baptiste, Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7000 N Mo Pac Expy, Suite 320, Austin, TX 78731-3027 | 2014-09-22 |
| 1306196522 | Nicholas Adam Stephens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2012-09-14 |
| 1134445539 | Brendan P Dewan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1010 W 40th St, Austin, TX 78756-4010 | 2010-04-12 |
| 1871729376 | University of Texas Southwestern Medical Center At Dallas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2009-06-10 |
| 1528206901 | Jonathan Alexander Yang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1010 W 40th St, Austin, TX 78756-4010 | 2009-01-23 |
| 1942460738 | Robert Chamberlain Neely | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1010 W 40th St, Austin, TX 78756 | 2008-06-15 |
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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.