Ellis Frazier, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35052676F Issued in OH

Practice address

100 Indian Ridge Dr
Piketon, OH 45661-9654

Phone

(740) 289-1548

Fax

(740) 289-3989

NPI assigned

Oct 13, 2005

Last updated

Nov 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• National Church Residences Home and Community Serv Home health agency, Chillicothe, OH, CCN 368083
• Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
• Adena Hospice Hospice, Chillicothe, OH, CCN 361591
• Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: efrazier1060644@direct.osumc.edu

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment Care Compare group NPD
• City of Portsmouth

  dba Portsmouth City Health Department

  • Public Health or Welfare Agency
  • Portsmouth, OH
  • NPI 1790847101
  NPD (past)
• Ross County Health District

  • Public Health or Welfare Agency
  • Chillicothe, OH
  • NPI 1083861363
  NPD (past)

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

• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Adena Home Health, LLC

  dba Adena Home Health

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1700805538
  Care Compare affiliation
• Adena Hospice, LLC

  dba Adena Hospice

  • Community Based Hospice Care Agency
  • Chillicothe, OH
  • NPI 1417130170
  Care Compare affiliation
• National Church Residences at Home, Inc

  dba NatlChrchRes Home & Community Services Southern Ohio Home Health

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1922104041
  Care Compare affiliation
• Pike Health Services, Inc

  dba Pike Community Hospital; Pike Medical & Surgical Associates

  • Critical Access Hospital
  • Waverly, OH
  • NPI 1720018971
  Care Compare affiliation

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1245228196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDIAN RIDGE DR",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619654",
            "telephone_number": "740-289-1548",
            "fax_number": "740-289-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDIAN RIDGE DR",
            "city": "PIKETON",
            "state": "OH",
            "postal_code": "456619654",
            "telephone_number": "740-289-1548",
            "fax_number": "740-289-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "ELLIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052676F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720769",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2534182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000281343",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000634422",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.piketon@adena.medicity.net",
            "affiliation": "N",
            "address_1": "100 Indian Ridge Dr",
            "city": "Piketon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456619654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Evans, QMHS
• Eric G Fannin, CDCA
• Catherine L Farinet, M.D.
• Tina Ferbrache
• Cole Edward Fite
• Willeen Frazier
• Fresh Start Counseling and Testing Services, LLC
• Lynette K Galloway, LPN
• Savannah Renee Galloway
• Kaitlyn L Garrison, LISW-S

• Family Medicine Physician in Piketon, OH
• Providers in Piketon, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.
• 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.