Paul D Frazer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2427 Issued in SD

Practice address

915 Mountain View Rd
Rapid City, SD 57702-3414

Phone

(605) 719-7205

Fax

(605) 719-7007

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Southeastern Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1114002573
  NPD (past)
• Southeastern Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Sioux Falls, SD
  • NPI 1689948317
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508966094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3450",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577093450",
            "telephone_number": "605-719-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MOUNTAIN VIEW RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023414",
            "telephone_number": "605-719-7205",
            "fax_number": "605-719-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "2427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100845",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Fox, PHARM.D.
• Megan Fragale
• Jennifer Franke
• Daniel P Franz, MD
• Natasha Frasier, ACT
• Erich Frazeur, CRNA
• Heather Frazeur
• Helen L Frederickson, MD
• Jessica Frederickson, MS, OTR/L
• Tiffany Ann Frederickson

• Psychiatry Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.