Kevin G Frazer (NPI# 1740418284, PAC ID# 6901054865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1740418284 |
| PAC ID by PECOS | 6901054865 |
| Professional Enrollment ID | I20120918000588 |
| Full Name | Kevin G Frazer |
| Organization Legal Name | THE CURATORS OF THE UNIVERSITY OF MISSOURI |
| Address |
308 S Church St Fayette MO 65248-1243 |
| Phone Number | 6602482217 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4486759560 |
| Number of Group Practice Members | 700 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 308 S Church St, Fayette, MO 65248-1243 | 6602482217 | THE CURATORS OF THE UNIVERSITY OF MISSOURI |
| Organization Legal Name | THE CURATORS OF THE UNIVERSITY OF MISSOURI |
| Physicians | 649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Danielle Newcom | Nurse Practitioner | The Curators of The University of Missouri | 1000 W Nifong Blvd Bldg 2, 200 University Physicians Surgery Assoc, Columba, MO 65203-5615 |
| Jennifer Michelle Kandlik | Nurse Practitioner | The Curators of The University of Missouri | 25 Conley Rd, Columbia, MO 65201-6477 |
| Mohannad Moaydad Al-samarraie | Ophthalmology | The Curators of The University of Missouri | 3215 Wingate Ct, 102 Eye Institute East, Columbia, MO 65201-7689 |
| Ashley Nicole Edelen | Nurse Practitioner | The Curators of The University of Missouri | 308 S Church St, Fayette, MO 65248-1243 |
| Ayman Hamdy Gaballah | Diagnostic Radiology | The Curators of The University of Missouri | 205 Portland St, Columbia, MO 65201-6521 |
| Blair E Lansford | Nurse Practitioner | The Curators of The University of Missouri | 3211 S Providence Rd, Columbia, MO 65203-3639 |
| Laura H Schopp | Psychologist, Clinical | The Curators of The University of Missouri | 115 Business Loop 70, Columbia, MO 65203-3244 |
| Wesley C Thompson | Psychologist, Clinical | The Curators of The University of Missouri | 551 E Southampton Dr, South Providence Psychiatry, Columbia, MO 65203-3057 |
| Sonal Ashutosh Patil | Family Medicine | The Curators of The University of Missouri | 305 N Keene St, Suite 203, Columbia, MO 65201-6898 |
| Laura Elizabeth Henderson Kelley | Internal Medicine | The Curators of The University of Missouri | 101 S Fairview Rd, Columbia, MO 65203-7637 |
| Street Address |
308 S CHURCH ST |
| City | FAYETTE |
| State | MO |
| Zip | 65248-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Nicole Edelen | Nurse Practitioner | The Curators of The University of Missouri | 308 S Church St, Fayette, MO 65248-1243 |
| Robert N Buffaloe | Family Practice | Curators of The University Of | 308 S Church St, Fayette, MO 65248-1243 |
| Tony D Cook | Nurse Practitioner | Curators of The University of Missouri | 308 S Church St, Fayette, MO 65248-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hope Irene Tinker | Family Medicine | John Fitzgibbon Memorial Hospital Inc | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 |
| Leann Elizabeth Williams | Nurse Practitioner | John Fitzgibbon Memorial Hospital Inc | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 |
| Ashley Moore | Physical Therapy | Central Missouri Physical Therapy LLC | 100 E Davis St, Fayette, MO 65248-1405 |
| City | FAYETTE |
| Zip Code | 65248 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAYETTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kevin G Frazer.
| 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.