Individual provider Active NPI

Joel Louis Frazier, MD

  • Orthopaedic Hand Surgery Physician
  • Modesto, CA
National Provider Identifier
1366448466
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G85911 Issued in CA
Practice address
609 E Orangeburg Ave Ste 201
Modesto, CA 95350
Phone
(209) 572-3224
Fax
(209) 572-4528
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X MD60660956 WA
Orthopaedic Hand Surgery Physician 207XS0106X 24229 OK
Orthopaedic Hand Surgery Physician 207XS0106X G85911 CA Primary

Addresses

Primary practice location

609 E Orangeburg Ave Ste 201
Modesto, CA 95350

Mailing address

9621 Ridgetop Blvd NW
Silverdale, WA 98383-8502

Other practice location 1

2200 NW Myhre Rd
Silverdale, WA 98383-7681
Phone (360) 830-1301

Other practice location 2

2200 NW Myhre Rd
Silverdale, WA 98383-7681
Phone (360) 830-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20181217002548 CA Practitioner - Orthopedic Surgery 1456397199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Medicine and Surgery, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanislaus Orthopaedic and Sports Medicine ClinicGroup PAC ID 0042373862, 9 clinicians

Practice addresses (Care Compare)

609 E Orangeburg Ave
Suite 201
Modesto, CA 95350-5512
Phone (209) 572-3224

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G85911CAMDOrthopaedic Hand Surgery Physician
MD60660956WAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Jan 12, 2019 Accepting new patients
County of San Joaquin CurrentSince Jan 12, 2019 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Jan 12, 2019 Accepting new patients
Central Oklahoma Anesthesia & Pain Management Services PC PastSince Apr 26, 2009 Accepting new patients
C L Soo MD PC Past Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1366448466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 RIDGETOP BLVD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E ORANGEBURG AVE STE 201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-572-3224",
            "fax_number": "209-572-4528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 NW Myhre Rd",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983837681",
            "country_code": "US",
            "telephone_number": "360-830-1301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 NW Myhre Rd",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983837681",
            "country_code": "US",
            "telephone_number": "360-830-1301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JOEL",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "WA",
            "license": "MD60660956",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OK",
            "license": "24229",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G85911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.