Charles D Fraser (NPI# 1184101610, PAC ID# 5890048219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184101610 |
| PAC ID by PECOS | 5890048219 |
| Professional Enrollment ID | I20181031001994 |
| Full Name | Charles D Fraser |
| Organization Legal Name | NORTHWEST COMMUNITY HEALTH CARE |
| Address |
36 Bridge Way Pascoag RI 02859-3131 |
| Phone Number | 4015670800 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355250663 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 36 Bridge Way, Pascoag, RI 02859-3131 | 4015670800 | NORTHWEST COMMUNITY HEALTH CARE |
| Organization Legal Name | NORTHWEST COMMUNITY HEALTH CARE |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ugbanaja | Certified Clinical Nurse Specialist (cns) | Northwest Community Health Care | 308 Callahan Rd, North Kingstown, RI 02852-7739 |
| Dayna Orourke | Nurse Practitioner | Northwest Community Health Care | 142 A Danielson Pike, Foster, RI 02825-1485 |
| Linda Eibel | Nurse Practitioner | Northwest Community Health Care | 35 Village Plaza Way, 1 53 Village Plaza Way Units 12 and 13, North Scituate, RI 02857-1849 |
| Sheila M Murphy | Physician Assistant | Northwest Community Health Care | 308 Callahan Rd, North Kingstown, RI 02852-7739 |
| Steven Diehl | Psychologist, Clinical | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Stephanie Pinto | Nurse Practitioner | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Michala Jorrin | Nurse Practitioner | Northwest Community Health Care | 308 Callahan Rd, North Kingstown, RI 02852-7739 |
| Alice Mui | Nurse Practitioner | Northwest Community Health Care | 142 A Danielson Pike, Foster, RI 02825-1485 |
| Sarah Gulla | Nurse Practitioner | Northwest Community Health Care | 308 Callahan Rd, North Kingstown, RI 02852-7739 |
| Missy Buco | Nurse Practitioner | Northwest Community Health Care | 142 A Danielson Pike, Foster, RI 02825-1485 |
| Street Address |
36 BRIDGE WAY |
| City | PASCOAG |
| State | RI |
| Zip | 02859-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Diehl | Psychologist, Clinical | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Stephanie Pinto | Nurse Practitioner | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Ryan Heney | Family Medicine | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Joan K Mullaney | Nurse Practitioner | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Jessica Wood | Physician Assistant | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Mary L Giovetti | Family Medicine | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Clifford I Gordon | Psychologist, Clinical | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Laura Snizek Ramirez | Physician Assistant | Northwest Community Health Care | 36 Bridge Way, Pascoag, RI 02859-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Paquet | Internal Medicine | State of Rhode Island and Providence Plantations | 2090 Wallum Lake Rd, Pascoag, RI 02859-1813 |
| Somasunda Panneerselvam | Internal Medicine | State of Rhode Island and Providence Plantations | 2090 Wallum Lake Rd, Pascoag, RI 02859-1813 |
| Normand L Decelles Jr. | Internal Medicine | State of Rhode Island and Providence Plantations | 2090 Wallum Lake Rd, Pascoag, RI 02859-1813 |
| Ann R Gabriele-perilli | Diagnostic Radiology | State of Rhode Island and Providence Plantations | 2090 Wallum Lake Rd, Pascoag, RI 02859-1813 |
| City | PASCOAG |
| Zip Code | 02859 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PASCOAG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charles D Fraser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.