NPIMap

Individual provider Active NPI

Tobin J Fraser, DO

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1336159102
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013087 Issued in MI
Practice address
4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205
Phone
(231) 935-8930
Fax
(231) 935-8811
NPI assigned
Aug 8, 2006
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013087 MI Primary

Addresses

Primary practice location

4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205

Mailing address

4290 Copper Ridge Dr Ste 200
Traverse City, MI 49684-7205
Phone (231) 935-8930

Other identifiers 1

IdentifierTypeStateIssuer
5101013087OtherMILICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001425 MI Practitioner - Family Practice 5193615284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians
West Front Primary Care PLLCGroup PAC ID 4183514706, 20 clinicians

Practice addresses (Care Compare)

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

4290 Copper Ridge Dr
Suite 200
Traverse City, MI 49684-7205
Phone (231) 935-8930

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013087MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Group CurrentSince Jan 1, 2020 Accepting new patients
West Front Primary Care, P.L.L.C. Family Medicine CurrentSince Jul 19, 1999 Accepting new patients
Munson Medical Center CurrentSince Aug 10, 1999 Accepting new patients
Munson Medical Group Current Accepting new patients
Munson Medical Group Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Munson Medical Center CurrentSince Aug 10, 1999 Accepting new patients
West Front Primary Care, P.L.L.C. Family Medicine PastSince Jul 19, 1999 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

2891 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

4290 Copper Ridge Dr
Ste 200
Traverse City, MI 49684
Phone (231) 935-8930

1200 Sixth St
Ste 200
Traverse City, MI 49684

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tobin.fraser.p1@direct.wfpc.nextgenshare.com

Organizations & group practices 8

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 5

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1336159102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 COPPER RIDGE DR STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847205",
            "telephone_number": "231-935-8930",
            "fax_number": "231-935-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 COPPER RIDGE DR STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847205",
            "telephone_number": "231-935-8930",
            "fax_number": "231-935-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "TOBIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5101013087",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.