EDWARD KENNETH FRASER (NPI# 1538171301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538171301 |
| Entity Type | Individual |
| Full Name | EDWARD KENNETH FRASER |
| Other Name | KENNETH FRASER |
| Credential | MD |
| Practice Address |
6035 Cypress Gardens Blvd Se Winter Haven Family Health Center Winter Haven FL 33884 |
| Practice Telephone | 8633244725 |
| Practice Fax Number | 8633244783 |
| Mailing Telephone | 8633244725 |
| Mailing Fax Number | 8633244783 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME44244 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265576508 | Edward A Fraser | Physician Assistant | 365 Montauk Ave, New London, CT 06320-4700 | 2007-02-19 |
| Street Address |
6035 CYPRESS GARDENS BLVD SE WINTER HAVEN FAMILY HEALTH CENTER |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956480 | Kristin Helen Kiddy | Occupational Therapy Assistant | 101 Overlook Drive, Suite 103, Winter Haven, FL 33884 | 2020-03-06 |
| 1871990143 | William Santo | Specialist/Technologist | 9269 Kliber Dr., Winter Haven, FL 33884 | 2014-12-02 |
| 1346656345 | Integrative Physical Medicine of Winter Haven LLC | Specialist | 7494 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2014-07-10 |
| 1568808921 | Donald Lurton Arey Jr. | Surgery | 800 Island Way, Winter Haven, FL 33884 | 2013-05-13 |
| 1407195324 | Shena R. Ranon | Nurse Practitioner | 1820 Woodpointe Dr, Winter Haven, FL 33884 | 2013-02-13 |
| 1952654543 | Mpn Medical Center of Dundee | Family Medicine | 1023 Dundee Road, Winter Haven, FL 33884 | 2012-10-19 |
| 1588941736 | Cody Gernatt | Occupational Therapist | 1120 Cypress Gardens Blvd., Winter Haven, FL 33884 | 2011-11-15 |
| 1851611677 | Paulene T Jasurek | Pharmacist | 4454 Cypress Gardens Rd, Winter Haven, FL 33884 | 2010-06-03 |
| 1306169867 | John David Butters | Speech-Language Pathologist | 208 Escambia Dr., Winter Haven, FL 33884 | 2010-03-11 |
| 1710162813 | Humphrey Chiropractic Center, P.a. | Chiropractor | 605 Overlook Drive, Suite 1, Winter Haven, FL 33884 | 2008-01-08 |
| Find all providers in zip 33884 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749155 | Internal Medicine Specialists Medical Group Pa | Family Medicine | 141 E Central Ave Ste 100, Winter Haven, FL 33880-6319 | 2020-01-16 |
| 1427619329 | Sally Ann Hawkins | Family Medicine | 705 Dolly Ben Ct, Winter Haven, FL 33880-5735 | 2019-06-22 |
| 1497289326 | Graham Robinson-farah Md Pa | Family Medicine | 818 Hart Lake St, Winter Haven, FL 33884-4160 | 2017-04-18 |
| 1952601643 | Shoba Reddy Sama | Family Medicine | 1501 1st St S, Ste B, Winter Haven, FL 33880-4307 | 2010-10-27 |
| 1407075633 | Craig Glaser | Family Medicine | 7375 Cypress Gardens Blvd, Winter Haven, FL 33884 | 2007-04-25 |
| 1609917681 | Hamid Bagloo | Family Medicine | 521 E Central Ave, Winter Haven, FL 33880-3054 | 2007-02-10 |
| 1386671063 | Ashley Jessica Falk | Family Medicine | 1201 1st St S Ste 100a, Winter Haven, FL 33880-3904 | 2006-06-27 |
| 1750368973 | Fidel Arbolaez | Family Medicine | 2090 Havendale Blvd Nw, Winter Haven, FL 33881-3817 | 2005-12-29 |
| 1104819853 | Mary R De Sena | Family Medicine | 635 1st St N, Winter Haven, FL 33881-4129 | 2005-08-29 |
| 1861499931 | Robinson N Koilpillai | Family Medicine | 500 East Central Avenue, Winter Haven, FL 33880 | 2005-07-05 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33884 |
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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.