Organization Active NPI

Frazier Rose Angstadt

  • Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1215112024
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FRAZIER ROSE ANGSTADT
Practice address
101 S Bryn Mawr Ave
Suite 201
Bryn Mawr, PA 19010-3120
Phone
(610) 520-0700
Fax
(610) 520-0744
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Thomas G. Frazier, M.D.
Title
President
Phone
(610) 520-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

101 S Bryn Mawr Ave
Suite 201
Bryn Mawr, PA 19010-3120

Mailing address

101 S Bryn Mawr Ave
Suite 201
Bryn Mawr, PA 19010-3120
Phone (610) 520-0700

Other identifiers 1

IdentifierTypeStateIssuer
CL2377OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

101 S Bryn Mawr Ave
Ste 201
Bryn Mawr, PA 19010
Phone (610) 451-4262

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1215112024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-520-0700",
            "fax_number": "610-520-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE",
            "address_2": "SUITE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103120",
            "telephone_number": "610-520-0700",
            "fax_number": "610-520-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZIER ROSE ANGSTADT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-520-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL2377",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

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

Verify at the official NPI Registry.