Active NPI
Duncan Hugh Fraser, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Powell, WY
National Provider Identifier
1114923463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 104
- Practice address
- 777 Avenue H
Powell, WY 82435-2260 - Phone
- (307) 754-9191
- Fax
- (307) 754-1291
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 104 | WY | |
| Radiology Podiatrist | 213ER0200X | 104 | WY | |
| Sports Medicine Podiatrist | 213ES0000X | 104 | WY | |
| Podiatrist | 213E00000X | 104 | WY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 104 | WY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 104 | WY |
Addresses
Primary practice location
777 Avenue H
Powell, WY 82435-2260
Mailing address
777 Avenue H
Powell, WY 82435-2260
Phone (307) 754-9191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0211460001 | Other | WI | DMERC # |
| 307844 | Other | WY | BLUE CROSS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104 | WY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1114923463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "824352260",
"telephone_number": "307-754-9191",
"fax_number": "307-754-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "824352260",
"telephone_number": "307-754-9191",
"fax_number": "307-754-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "DUNCAN",
"middle_name": "HUGH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "WY",
"license": "104",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "WY",
"license": "104",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "WY",
"license": "104",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WY",
"license": "104",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WY",
"license": "104",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "WY",
"license": "104",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC #",
"identifier": "0211460001",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "307844",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.