Individual provider Active NPI

Lauren Elizabeth Fraijo, PA-C

  • Surgical Physician Assistant
  • Round Rock, TX
National Provider Identifier
1043825367
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA16956 Issued in TX
Practice address
4700 Campus Village Dr Ste 100
Round Rock, TX 78665-3025
Phone
(512) 439-1000
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8083 AZ
Surgical Physician Assistant 363AS0400X PA16956 TX Primary

Addresses

Primary practice location

4700 Campus Village Dr Ste 100
Round Rock, TX 78665-3025

Mailing address

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other practice location 1

4700 Seton Center Pkwy Ste 200
Austin, TX 78759-4107
Phone (512) 439-1000

Other practice location 2

4215 Benner Ste 300
Kyle, TX 78640-2224
Phone (512) 439-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628000005 TX Practitioner - Physician Assistant 9133537442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3755 S Capital of Texas Hwy
Suite 130
Austin, TX 78704-6623
Phone (512) 439-1000

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

4215 Benner
Suite 300
Kyle, TX 78640-2224
Phone (512) 439-1000

4700 Campus Village Dr
Suite 100
Round Rock, TX 78665-3025
Phone (512) 439-1000

4700 Seton Ctr Pkwy
Austin, TX 78759-4107
Phone (512) 439-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8083AZMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
PA16956TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Ortholonestar, PLLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644

3755 S Capital of Texas Hwy
Ste 130
Austin, TX 78704
Phone (512) 439-1005

4700 Seton Center Pkwy
Ste 200
Austin, TX 78759
Phone (512) 439-1011

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

4215 Benner
Ste 300
Kyle, TX 78640
Phone (512) 439-1007

2120 N Mays St
Ste 100
Round Rock, TX 78664
Phone (512) 439-1001

4700 Campus Village Dr
Ste 100
Round Rock, TX 78665
Phone (512) 439-1004

Interoperability endpoints

  • Direct secure messaging: lauren.fraijo.1@15533.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1043825367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594107",
            "telephone_number": "512-439-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 CAMPUS VILLAGE DR STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653025",
            "telephone_number": "512-439-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Seton Center Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787594107",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Benner Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786402224",
            "country_code": "US",
            "telephone_number": "512-439-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAIJO",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8083",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA16956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.