ALICE ANNE FRAZIER (NPI# 1629036496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629036496 |
| Entity Type | Individual |
| Full Name | ALICE ANNE FRAZIER |
| Credential | D.O. |
| Practice Address |
100 Dawn Ln Waverly OH 45690-9138 |
| Mailing Address |
4750 Hempstead Station Dr Kettering OH 45429-5164 |
| Practice Telephone | 7409472186 |
| Mailing Telephone | 8008750136 |
| Mailing Fax Number | 9376194150 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34005990F | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0143197 | 05 | |
| OH | ANTHEM/BCBS | 000000528249 | 01 |
| OH | ANTHEM/BCBS | 000000552750 | 01 |
| BCBS | 000000319938 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942481361 | Alice Maria Frazier | Counselor | 5306 Morningside Ave, Dallas, TX 75206 | 2007-11-15 |
| 1700949302 | Alice Andrews Frazier | Family Medicine | 445 E Granville Rd, Worthington, OH 43085-3192 | 2006-12-18 |
| Street Address |
100 DAWN LN |
| City | WAVERLY |
| State | OH |
| Zip Code | 45690-9138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346726 | Mark Marquez | Pharmacist | 100 Dawn Ln, Waverly, OH 45690-9138 | 2005-12-10 |
| 1437782760 | Mindy Anne Battles | Counselor | 100 Dawn Ln, Waverly, OH 45690-9138 | 2020-02-14 |
| 1467902973 | Cheryl Sue Smith | Pharmacist | 100 Dawn Ln, Waverly, OH 45690-9138 | 2016-10-07 |
| 1942690698 | Adena Pharmacy LLC | Pharmacy | 100 Dawn Ln, Waverly, OH 45690-9138 | 2015-02-03 |
| 1972906246 | Erin Salisbury | Occupational Therapy Assistant | 100 Dawn Ln, Waverly, OH 45690-9138 | 2014-10-01 |
| 1821490327 | Beth Brown | Physical Therapist | 100 Dawn Ln, Waverly, OH 45690-9138 | 2014-09-16 |
| 1871761585 | Pike County Emergency Physicians Inc | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2008-02-15 |
| 1548457880 | Susan B Cooper | Dietary Manager | 100 Dawn Ln, Waverly, OH 45690-9138 | 2007-10-01 |
| 1841325347 | Pike Health Services, Inc | Medicare Defined Swing Bed Unit | 100 Dawn Ln, Waverly, OH 45690-9138 | 2007-02-23 |
| 1225173313 | Cindy Lee Ingram | Nurse Anesthetist, Certified Registered | 100 Dawn Ln, Waverly, OH 45690-9138 | 2007-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1225661168 | Kyle Colley | Counselor | 14574 Us Hughway 23, Waverly, OH 45690 | 2020-02-19 |
| 1366082513 | Ryan Rawlins | Counselor | 14574 St. Rt. 23, Waverly, OH 45690 | 2020-01-15 |
| 1700424140 | Jaime Wooldridge | Counselor | 14532 St. Rt. 23, Waverly, OH 45690 | 2019-12-17 |
| 1518513415 | Jacquelyn Irene Sprouse | Counselor | 217 Emmitt Ave, Waverly, OH 45690 | 2019-08-15 |
| 1639634850 | Krista K Leeth | Counselor | 14532 Us Hwy 23, 14534 Us Hwy 23, Waverly, OH 45690 | 2019-02-01 |
| 1881196244 | Kevin Michael Reichert | Counselor | Pike County Recovery Council, 218 East North Street, Waverly, OH 45690 | 2018-03-01 |
| 1619483179 | Ticia Lewis | Counselor | 14532 State Route 23, Waverly, OH 45690 | 2017-12-20 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1447763313 | Jody Ryan Colley | Counselor | 14572 St. Rt. 23, Waverly, OH 45690 | 2017-11-14 |
| Find all providers in zip 45690 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366887846 | Benjamin Kum | Emergency Medicine | 100 Lily Lake Road, Waverly, PA 18471 | 2013-05-09 |
| 1861443004 | Timothy Craig Mcglone | Emergency Medicine | 835 W Emmitt Ave, Waverly, OH 45690-1190 | 2006-05-12 |
| 1558364240 | Todd Larry Shover | Emergency Medicine | 312 9th St Sw, Waverly, IA 50677-2929 | 2005-05-27 |
| 1871761585 | Pike County Emergency Physicians Inc | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2008-02-15 |
| 1821156472 | Sean D Stiltner | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2006-12-05 |
| 1174547376 | Marlynn Giles Stovall | Emergency Medicine | 451 Highway 13 S, Waverly, TN 37185-2109 | 2006-07-27 |
| 1962454207 | David J. Withers | Emergency Medicine | Lily Lake Rd, Waverly, PA 18471 | 2006-05-16 |
| 1093791212 | Jay Bernstein | Emergency Medicine | 100 Dawn Ln, Waverly, OH 45690-9138 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624251 | Chadwick Gordon Rogers | Emergency Medicine | 6605 Rollymeade Ave, Cincinnati, OH 45243-3019 | 2020-09-22 |
| 1003433384 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 1 Kettering Way, Piqua, OH 45356-4109 | 2020-07-02 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1528695384 | Chizite Iheonunekwu | Emergency Medicine | 1 Akron General Ave # Aae, Akron, OH 44307-2432 | 2020-03-23 |
| 1790336741 | Ashley Brooke Tincher | Emergency Medicine | 8356 Horseshoe Rd, Ashley, OH 43003-8723 | 2019-09-21 |
| 1871090316 | Integrated Health Medical Consultants LLC | Emergency Medicine | 4487 Village Club Drive, Powell, OH 43065-7156 | 2018-04-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| 1871097253 | Scotty Fulton | Emergency Medicine | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-21 |
| 1821514761 | Roger Hart L'hommedieu Jr. | Emergency Medicine | 7341 Lacosta Dr, Hudson, OH 44236-1804 | 2017-08-22 |
| 1285150599 | Emergency Medicine Care Specialists, Inc | Emergency Medicine | 1620 Royal Oak Dr, Mansfield, OH 44906-3635 | 2017-08-17 |
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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.