Active NPI
Michael Fraser
- Physician Assistant
- Hamburg, NY
National Provider Identifier
1205220985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018488
- Practice address
- 4535 Southwestern Boulevard Suite 801
Hamburg, NY 14075-3647 - Phone
- (716) 646-6075
- NPI assigned
- Mar 20, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018488 | NY | Primary |
Addresses
Primary practice location
4535 Southwestern Boulevard Suite 801
Hamburg, NY 14075-3647
Mailing address
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Phone (716) 893-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald P. Santasiero MD PC | Past | Accepting new patients | |
| New York Anesthesiology Medical Specialties, PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1194132415
-
- Orthopaedic Surgery of the Spine Physician
- Niagara Falls, NY
- NPI 1538199864
-
- Durable Medical Equipment & Medical Supplies
- Camillus, NY
- NPI 1023497203
-
- Specialist
- Hamburg, NY
- NPI 1396933834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1205220985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LA RIVIERE DR STE 201",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024344",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 SOUTHWESTERN BOULEVARD SUITE 801",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140753647",
"telephone_number": "716-646-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-20",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.