Individual provider Active NPI

William John Donohue Fraser, MD

  • Emergency Medicine Physician
  • Columbia, SC
National Provider Identifier
1013533280
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0071169 Issued in CO
Practice address
Emergency Medicine
14 Medical Park, Ste 350
Columbia, SC 29203
Phone
(803) 434-3790
Fax
(803) 434-3946
NPI assigned
Jun 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL84480 SC
Emergency Medicine Physician 207P00000X DR.0071169 CO Primary

Addresses

Primary practice location

Emergency Medicine
14 Medical Park, Ste 350
Columbia, SC 29203

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

12505 E 16TH Ave
Aurora, CO 80045-0000
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CO, TX, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220726002001 SC Practitioner - Emergency Medicine 3476935263 Reassigns benefits to 1 organization
I20230619000313 CO Practitioner - Emergency Medicine 3476935263 Reassigns benefits to 2 organizations
I20250225001648 TX Practitioner - Emergency Medicine 3476935263 Reassigns benefits to 1 organization
I20260423000608 OR Practitioner - Emergency Medicine 3476935263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Univ of Central Florida, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Columbia Medical CenterGroup PAC ID 3779487251, 99 clinicians
Usacs Community Emergency Services of Colorado Inc.Group PAC ID 2466711536, 167 clinicians
Pine Ridge Indian Health Service HospitalGroup PAC ID 4688571326, 107 clinicians

Practice addresses (Care Compare)

1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-1111

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

9949 S Oswego St
Parker, CO 80134-3753
Phone (303) 925-4700

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

P O Box
Suite 1201
Pine Ridge, SD 57770-1201

P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • Pine Ridge IHS Hospital Hospital, Pine Ridge, SD, CCN 430098
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LL84480SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Apr 29, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
McLeod Health Cheraw CurrentSince Jul 1, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 28, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Apr 29, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jan 28, 2025 Accepting new patients
McLeod Health Cheraw Emergency Medicine Current Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1013533280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMERGENCY MEDICINE",
            "address_2": "14 MEDICAL PARK, STE 350",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-3790",
            "fax_number": "803-434-3946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12505 E 16TH AVE",
            "address_purpose": "LOCATION",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800450000",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASER",
        "first_name": "WILLIAM",
        "middle_name": "JOHN DONOHUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL84480",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0071169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.