DR. ROBERT W. FRASER III (NPI# 1376502534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376502534 |
Entity Type | Individual |
Full Name | DR. ROBERT W. FRASER III |
Credential | M.D. |
Practice Address |
1021 Morehead Medical Dr Charlotte NC 28204-2839 |
Mailing Address |
200 Queens Rd Suite 400 Charlotte NC 28204-3252 |
Practice Telephone | 7043552272 |
Practice Fax Number | 7043551865 |
Mailing Telephone | 7043337376 |
Mailing Fax Number | 7043333397 |
Enumeration Date | 2006-03-17 |
Last Update Date | 2012-12-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
13934 | SC | Allopathic & Osteopathic Physicians |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
23529 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDICARE PTAN | 212172H | 01 |
NC | MEDCOST | 62130 | 01 |
SC | N23529 | 05 | |
NC | BLUE CROSS | 33695 | 01 |
NC | 8933695 | 05 | |
NC | CIGNA | 0952105007 | 01 |
NC | UNITED HEALTHCARE | 2086502 | 01 |
NC | PARTNERS | 26020 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760813950 | Robert Eugene Fraser | Registered Nurse | Us Army Medical Department Activity-japan, Unit 45011, Apo, AP 96343-5011 | 2013-12-12 |
1508109786 | Robert James Fraser | Internal Medicine | 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 | 2013-04-05 |
1356693998 | Robert Fraser | Behavioral Analyst | 1250 N Wilson Ave, Loveland, CO 80537-4461 | 2012-10-05 |
1376705525 | Robert Michael Fraser | Emergency Medicine | 234 E 149th St, Bronx, NY 10451-5504 | 2008-06-30 |
1083817530 | Robert T Fraser | Psychiatry & Neurology | 325 9th Ave, Seattle, WA 98104-2420 | 2007-06-11 |
1235269432 | Robert B. Fraser | Chiropractor | 5513 Doctors Dr, Edinburg, TX 78539-5563 | 2007-03-06 |
1942342654 | Robert F. Fraser II | Obstetrics & Gynecology | 1900 S National Ave, Suite 2900, Springfield, MO 65804-2265 | 2007-02-12 |
1134206352 | Robert J Fraser | Internal Medicine | 84 Marginal Way, Suite 800, Portland, ME 04101 | 2006-11-01 |
1417043589 | Robert J Fraser | Internal Medicine | 50 Memorial Drive, Suite 205, Leominster, MA 01453 | 2006-10-05 |
1932161353 | Robert Edward Fraser | Emergency Medicine | 1001 Towson Ave, Er Dept., Fort Smith, AR 72901-4921 | 2006-04-03 |
Street Address |
1021 MOREHEAD MEDICAL DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28204-2839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518965607 | Asim Amin | Internal Medicine | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2005-07-12 |
1457973117 | Ekaterina Kachur | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2020-05-15 |
1346874302 | Raquel Brehun | Physician Assistant | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2020-02-28 |
1124665450 | Lisa Louise Gale | Occupational Therapy Assistant | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2019-12-05 |
1205489291 | Camille Garcia | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-07-19 |
1093368052 | Shree Bathani | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-07-18 |
1730748955 | Jai Narendra Patel | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2019-06-11 |
1558820936 | Caroline Watt | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-03-15 |
1982161907 | Vina Sananikone | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-02-26 |
1588128102 | Maggie Corvaia | Nurse Practitioner | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2019-01-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
Find all providers in zip 28204 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
1568400109 | Southeast Radiation Oncology Group, P.a. | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3252 | 2006-06-04 |
1558603605 | Noelle L Williams | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204 | 2013-03-26 |
1922346923 | Carolina Fasola | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3253 | 2013-01-25 |
1043570948 | Matthew Christopher Ward | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-05-24 |
1871868026 | Christopher David Corso | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2012-03-20 |
1518265420 | Benjamin James Moeller | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2011-03-02 |
1871751420 | Roshan Sudhir Prabhu | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2008-05-30 |
1306045752 | John Henry Heinzerling II | Radiology | 1021 Morehead Medical Dr, Charlotte, NC 28204-2839 | 2007-07-16 |
1922219013 | Shelileah Ramsey Newman | Radiology | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3253 | 2007-05-24 |
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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.