Active NPI
John Phillip Frasure, PA-C
- Physician Assistant
- Johnson City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05105
- Practice address
- 208 Haley Rd
Johnson City, TX 78636-4617 - Phone
- (830) 868-4033
- NPI assigned
- Feb 2, 2006
- Last updated
- Dec 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05105 | TX | Primary |
| Physician Assistant | 363A00000X | 1049273 | NU |
Addresses
Primary practice location
208 Haley Rd
Johnson City, TX 78636-4617
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA05105 | Other | TX | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jfrasure69381@direct.sw.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 E Polk St
Baylor Scott and White Clinic Burnet
Burnet, TX 78611-2136
Phone (512) 715-6400
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
810 W Hwy 71
Marble Falls Professional Services Group
Marble Falls, TX 78654-8602
Phone (830) 201-8000
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05105 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott & White Hospital - Marble Falls | Current | Accepting new patients | |
| Scott & White Clinic | Current | Accepting new patients | |
| Scott & White Hospital - Marble Falls | Current | Accepting new patients | |
| River City Emergency Physicians, PLLC | Past | Accepting new patients | |
| Radiation Oncology of San Antonio, PA | Past | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
101 E Jackson St
Burnet, TX 78611
Phone (512) 756-7510
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
208 Haley Rd
Johnson City, TX 78636
Phone (210) 454-7404
2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185
810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900
Interoperability endpoints
- jfrasure69381@direct.sw.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Marble Falls, TX
- NPI 1295397859
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1649820796
-
dba Baylor Scott & White Clinic - Horseshoe Bay
- Rural Health Clinic/Center
- Horseshoe Bay, TX
- NPI 1821399767
-
- Specialist
- San Antonio, TX
- NPI 1184789232
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1164645297
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Institute for Rehabilitation - Lakeway
- Rehabilitation Hospital
- Lakeway, TX
- NPI 1851889463
Inpatient rehabilitation facility
-
dba Baylor Scott & White Medical Center - Marble Falls
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
-
dba AccentCare Home Health of Marble Falls
- Home Health Agency
- Marble Falls, TX
- NPI 1457881807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1093787400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 HALEY RD",
"city": "JOHNSON CITY",
"state": "TX",
"postal_code": "786364617",
"telephone_number": "830-868-4033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASURE",
"first_name": "JOHN",
"middle_name": "PHILLIP",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05105",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": "1049273",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA05105",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jfrasure69381@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "208 Haley Rd",
"city": "Johnson City",
"state": "TX",
"country_code": "US",
"postal_code": "786364617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johnson City, TX
- Emily Cropper, PA-C
- Mary Elizabeth Eilers, APN
- Elevate Acupuncture and Wellness, PLLC
- Mark D. Ellis, N.P.
- Jovawna Dawn Ellison-Hubbard, MSN,APRN,FNP-BC
- Mary Kathryn Hagemeier, D.D.S.
- Hamilton County Hospital District (Avir at Johnson City)
- Johnson City Chiropractic LLC (Johnson City Chiropractic)
- Kristi Maki
- Paul Jay McKee, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.