Richard S Frazier, DO
Individual provider Active NPI Family Medicine Physician · Pearisburg, VA
NPI 1497370217 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1497370217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01021208453 (VA)
- Practice address
- 430 Boxwood LN
Pearisburg, VA 24134-1168 - Phone
- (540) 921-6110
- Fax
- (540) 921-3796
- NPI assigned
- Jun 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240725003826 | VA | Practitioner - Family Practice | 7618394610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Giles Community Hospital | Current |
Accepting new patients | |
| Carilion Giles Community Hospital | Current |
Accepting new patients |
Locations
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
430 Boxwood Ln
Pearisburg, VA 24134
Phone (540) 921-3636
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 01021208453 | VA | Yes |
Addresses
Primary practice location
430 Boxwood LN
Pearisburg, VA 24134-1168
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5705
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207Q00000X | Other | VT | FAMILY MEDICINE |
Other providers in Pearisburg, VA
- Ahmed Elwan Mohamed Elhassanny
- Empower2000, Inc
- Hannah Evans
- Tiffany Lea Farmer
- John Randall Finch
- Free Clinic of the New River Valley Inc
- Free Clinic of the New River Valley, Inc
- Ethan Ray Freeborn
- Kate Geary
- Giles County Public Schools
All providers in Pearisburg, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.