Fraser Professional Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FRASER PROFESSIONAL MEDICAL GROUP LLC

Practice address

77 3Rd St
Monument, CO 80132-8179

Phone

(719) 633-5255

Fax

(719) 488-6753

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Soots Fraser, D.O.LNPI 1629114335

Title

Medical Director

Phone

(719) 633-5255

Specialties & licenses 3

Addresses

Other names 1

• Flying Horse Medical Center Doing business as

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

CLIA laboratory certificates

Tax ID family

Fraser Professional Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fraser Professional Medical Group

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1215790993
  NPD tax ID
• Fraser Professional Medical Group LLC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1598578528
  NPD tax ID

Practitioners 3

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

• Aaron Soots Fraser, D.O.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1629114335
  NPD (past) Authorized official
• Millicent Odunze Geers, M.D., M.P.H.

  • Plastic Surgery Physician
  • Monument, CO
  • NPI 1710143581
  NPD
• Heather J Knox, FNP-C

  • Family Nurse Practitioner
  • Monument, CO
  • NPI 1174477590
  NPD (past)

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1194313346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 3RD ST",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328179",
            "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": "77 3RD ST",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328179",
            "telephone_number": "719-633-5255",
            "fax_number": "719-488-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRASER PROFESSIONAL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "SOOTS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "719-633-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.L"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flying Horse Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Reed Foote, M.D.
• Sandi L Forsythe, LMFT
• Cynthia Ann Fouse, LCSW
• Fox Surgical Group
• Paul A. Fox
• Front Range Advanced Wound Care Professional Corporation
• Tae S Fugate, AAS
• Zoe Grace Fuson
• Gala Medical & Health Care LLC
• Karen Garber

• Family Medicine Physician in Monument, CO
• Providers in Monument, 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 Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.