ANDREA FRALEY (NPI# 1487660585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487660585 |
| Entity Type | Individual |
| Full Name | ANDREA FRALEY |
| Credential | MD |
| Practice Address |
2017 W I 35 Frontage Rd Suite 130 Edmond OK 73013-8504 |
| Mailing Address |
925 W I 35 Frontage Rd Ste 100 Edmond OK 73034-7399 |
| Practice Telephone | 4057573630 |
| Practice Fax Number | 4057573631 |
| Mailing Telephone | 4054715460 |
| Mailing Fax Number | 4054716513 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 26519 | OK | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 036-115728 | IL | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
26519 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036115728 | 05 |
| Street Address |
2017 W I 35 FRONTAGE RD SUITE 130 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-8504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917778 | William J. Hale II | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Sutie 250, Edmond, OK 73013-8504 | 2006-01-20 |
| 1669987079 | Justin Hixon | Physical Medicine & Rehabilitation | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8550 | 2017-12-07 |
| 1013457985 | Rachel Britton | Audiologist | 2017 W I 35 Frontage Rd, Suite 140, Edmond, OK 73013-8550 | 2017-02-27 |
| 1477000578 | Jason Stephen Seay | Registered Nurse | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8550 | 2016-09-06 |
| 1932565454 | Erin Elane Ashley | Physician Assistant | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2016-01-13 |
| 1639568942 | Liz Tomichen | Physician Assistant | 2017 W I 35 Frontage Rd, Suite 170, Edmond, OK 73013-8550 | 2015-01-10 |
| 1801293105 | Kelly Walker | Physician Assistant | 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 | 2014-12-02 |
| 1306265640 | Mercy Pharmacy Services, LLC | Pharmacy | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2014-04-15 |
| 1376967349 | Jillian Grace Marshall | Audiologist | 2017 W I 35 Frontage Rd, Suite 140, Edmond, OK 73013-8504 | 2014-02-12 |
| 1992131791 | Julie Marie Price | Nurse Practitioner | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669506978 | Human Performance Center 3 Pllc | Physical Medicine & Rehabilitation | 520 Flynn St, Alva, OK 73717-2240 | 2007-03-16 |
| 1073594651 | Kevin F Dunn | Physical Medicine & Rehabilitation | 11205 N May Ave, Suite C, Oklahoma City, OK 73120-6329 | 2005-11-09 |
| 1619446747 | Trenton Michael Royse | Physical Medicine & Rehabilitation | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2018-11-19 |
| 1679922462 | Jerrad Hada | Physical Medicine & Rehabilitation | 520 Flynn St, Alva, OK 73717-2240 | 2016-06-13 |
| 1346698446 | Kyler King | Physical Medicine & Rehabilitation | 2201 Silver Lake Rd, Bartlesville, OK 74006-6233 | 2016-05-31 |
| 1124345665 | Southeastern Oklahoma Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 1705 N Washington Ave, Suite C, Durant, OK 74701-2100 | 2010-04-23 |
| 1720234891 | Andrew R Briggeman, Do, LLC | Physical Medicine & Rehabilitation | 6825 S Delaware Ave, Tulsa, OK 74136-4502 | 2008-08-08 |
| 1912934100 | Srikanth Kottapally Reddy | Physical Medicine & Rehabilitation | 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5826 | 2006-06-26 |
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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.