Active NPI
Louis E Fazen III, M.D.
- Public Health & General Preventive Medicine Physician
- Franklin, MA
National Provider Identifier
1417980137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 38987
- Practice address
- 835 W Central St
Franklin, MA 02038-3188 - Phone
- (508) 541-8000
- Fax
- (580) 541-6749
- NPI assigned
- Jul 8, 2006
- Last updated
- Sep 11, 2025
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 38987 | MA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 38987 | MA | Primary |
Addresses
Primary practice location
835 W Central St
Franklin, MA 02038-3188
Mailing address
124 Grove St
Ste 305
Franklin, MA 02038-3156
Phone (508) 528-5392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068044 | Medicaid | MA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Regional Physician Group, Inc. | Past | Accepting new patients | |
| Milford Regional Physician Group, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Sports Medicine & Wellness in Medway
- Sports Medicine (Family Medicine) Physician
- Medway, MA
- NPI 1508681321
-
- Internal Medicine Physician
- Milford, MA
- NPI 1902856024
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417980137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 GROVE ST",
"address_2": "STE 305",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020383156",
"telephone_number": "508-528-5392",
"fax_number": "508-541-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 W CENTRAL ST",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020383188",
"telephone_number": "508-541-8000",
"fax_number": "580-541-6749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZEN",
"first_name": "LOUIS",
"middle_name": "E",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "38987",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MA",
"license": "38987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2068044",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.