Individual provider Active NPI

Logan H Fraser, AU.D.

  • Audiologist
  • Glen Burnie, MD
National Provider Identifier
1083301618
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01632 Issued in MD
Practice address
7845 Oakwood Rd Ste 303
Glen Burnie, MD 21061-4266
Phone
(410) 760-4327
Fax
(866) 655-8181
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01632 MD Primary

Addresses

Primary practice location

7845 Oakwood Rd Ste 303
Glen Burnie, MD 21061-4266

Mailing address

3615 E Joppa Rd Ste 210
Baltimore, MD 21234-3386
Phone (410) 944-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518000016 MD Practitioner - Qualified Audiologist 8628434651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Associates Inc.Group PAC ID 4981626389, 12 clinicians

Practice addresses (Care Compare)

7845 Oakwood Rd
Suite 303
Glen Burnie, MD 21061-4266
Phone (410) 760-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01632MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates Inc. Audiologist CurrentSince May 5, 2023 Accepting new patients

Locations

7845 Oakwood Rd
Ste 303
Glen Burnie, MD 21061
Phone (410) 760-4327

3615 E Joppa Rd
Ste 210
Parkville, MD 21234
Phone (410) 266-6444

9613 Harford Rd
Ste B
Parkville, MD 21234
Phone (410) 668-5500

Organizations & group practices 1

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1083301618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 E JOPPA RD STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343386",
            "telephone_number": "410-944-3100",
            "fax_number": "866-643-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD STE 303",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614266",
            "telephone_number": "410-760-4327",
            "fax_number": "866-655-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "LOGAN",
        "middle_name": "H",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.