Active NPI
William D Frazier, MD
- Pulmonary Disease Physician
- Canton, MS
National Provider Identifier
1336243047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 10690
- Practice address
- 161 River Oaks Dr Ste Rt1188
Canton, MS 39046-5375 - Phone
- (601) 850-4235
- Fax
- (601) 850-4313
- NPI assigned
- Sep 12, 2006
- Last updated
- Jan 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 10690 | MS | |
| Pulmonary Disease Physician | 207RP1001X | 10690 | MS | Primary |
Addresses
Primary practice location
161 River Oaks Dr Ste Rt1188
Canton, MS 39046-5375
Mailing address
PO Box 967
Jackson, MS 39205-0967
Phone (601) 850-4253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00122261 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10690 | MS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Management, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1336243047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "JACKSON",
"state": "MS",
"postal_code": "392050967",
"telephone_number": "601-850-4253",
"fax_number": "601-850-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 RIVER OAKS DR STE RT1188",
"city": "CANTON",
"state": "MS",
"postal_code": "390465375",
"telephone_number": "601-850-4235",
"fax_number": "601-850-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "WILLIAM",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MS",
"license": "10690",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MS",
"license": "10690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122261",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
- Margaret Josephine Flattmann, SLP
- Robert Michael Foose, MD
- Rakedra Ford, DNP, APRN, FNP-C
- Jasmeka Koasher Foster, MS, NCC, PCMHT
- Farryl Franklin, O.D.
- Shemeka Freelon
- G a Carmichael Family Health Center
- G a Carmichael Family Health Center (GAC Community Pharmacy)
- G a Carmichael Family Health Center Inc
- G a Carmichael Family Health Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.