Fraser Professional Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50395 Issued in CO

Legal business name

FRASER PROFESSIONAL MEDICAL GROUP LLC

Doing business as

Flying Horse Medical Center

Practice address

1615 Silversmith Rd
Colorado Springs, CO 80921-7225

Phone

(719) 433-5255

Fax

(719) 488-6753

NPI assigned

Dec 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Aaron S. Fraser, D.O.NPI 1629114335

Title

Medical Director

Phone

(719) 433-5255

Specialties & licenses 1

Addresses

Other names 1

• Flying Horse Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Joy Ara, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1386488021

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Aaron Soots Fraser, D.O.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1629114335
  Medicare reassignment NPD Authorized official
• Lori Melisa Truetzschler-Davis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ausitn, TX
  • NPI 1033657515

  CO

  Medicare reassignment Care Compare group NPD
• David Daniell Haight, MD

  • Sports Medicine (Family Medicine) Physician
  • Colorado Springs, CO
  • NPI 1174599575
  Medicare reassignment NPD
• Jordan Hout, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1700439353
  Medicare reassignment NPD
• Kaili Whiteaker, FNP-C

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1841990512
  Medicare reassignment NPD

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

{
    "created_epoch": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1184045726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SILVERSMITH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217225",
            "telephone_number": "719-633-5255",
            "fax_number": "719-488-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SILVERSMITH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217225",
            "telephone_number": "719-433-5255",
            "fax_number": "719-488-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRASER PROFESSIONAL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-433-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flying Horse Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas William Franquemont, MD
• Jaclyn Franz
• Lora Franz, LCSW
• Edward Ronald Franzen, LPC
• Fraser Professional Medical Group
• Fraser Professional Medical Group LLC
• Aaron Soots Fraser, D.O.
• Anthony Austin Fraser, BT
• Tiffany Fraser
• Jordan Leigh Frasier

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.