Individual provider Active NPI

Thomas Hall Frazier, M.D.

  • Gastroenterology Physician
  • Louisa, KY
National Provider Identifier
1205966256
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
41998 Issued in KY
Practice address
32 Professional Park Dr
Suite 108
Louisa, KY 41230-9644
Phone
(606) 638-4656
Fax
(606) 638-4658
NPI assigned
Mar 7, 2007
Last updated
Mar 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R1271 KY
Gastroenterology Physician 207RG0100X 41998 KY Primary

Addresses

Primary practice location

32 Professional Park Dr
Suite 108
Louisa, KY 41230-9644

Mailing address

PO Box 30
Louisa, KY 41230-0030
Phone (606) 638-1154

Other identifiers 3

IdentifierTypeStateIssuer
0000007716883OtherKYBCBS KY
2632711OtherWVWV BCBS
P00948000OtherKYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000304 KY Practitioner - Gastroenterology 3476721747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Louisville School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

2483 Hwy 644 107
Louisa, KY 41230-9242
Phone (606) 638-1154

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy85
Upper gastrointestinal (GI) endoscopy for acid reflux191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R1271KYMDInternal Medicine Physician
41998KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc CurrentSince Jul 1, 2011 Accepting new patients
Three Rivers Medical Clinics Inc Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients

Locations

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

40 Professional Park Dr
Louisa, KY 41230
Phone (606) 638-4656

958 Broadway St
Paintsville, KY 41240
Phone (606) 789-2424

Interoperability endpoints

  • Direct secure messaging: tfrazier@yourcarecommunity.org
  • Direct secure messaging: thomas.frazier.1@1954.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1205966256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300030",
            "telephone_number": "606-638-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PROFESSIONAL PARK DR",
            "address_2": "SUITE 108",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412309644",
            "telephone_number": "606-638-4656",
            "fax_number": "606-638-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "THOMAS",
        "middle_name": "HALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "R1271",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "41998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KY",
            "identifier": "0000007716883",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BCBS",
            "identifier": "2632711",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00948000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.