Active NPI
Fraser Professional Medical Group
- Family Medicine Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FRASER PROFESSIONAL MEDICAL GROUP
- Practice address
- 3525 American Dr
Colorado Springs, CO 80917-5743 - Phone
- (719) 633-5255
- Fax
- (719) 488-6753
- NPI assigned
- Feb 5, 2024
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- Owner
- Phone
- (719) 633-5255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3525 American Dr
Colorado Springs, CO 80917-5743
Mailing address
1615 Silversmith Rd
Colorado Springs, CO 80921-7225
Phone (719) 633-5255
Other names 1
- Flying Horse Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Fraser Professional Medical
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Monument, CO
- NPI 1194313346
-
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1598578528
Locations
1615 Silversmith Rd
Colorado Springs, CO 80921
Phone (719) 323-5772
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1629114335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707091200000",
"number": "1215790993",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 AMERICAN DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175743",
"telephone_number": "719-633-5255",
"fax_number": "719-488-6753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRASER PROFESSIONAL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-05",
"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": "OWNER",
"authorized_official_telephone_number": "719-633-5255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Flying Horse Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.