Edward Kenneth Fraser, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME44244 Issued in FL

Practice address

6035 Cypress Gardens Blvd
SE Winter Haven Family Health Center
Winter Haven, FL 33884

Phone

(863) 324-4725

Fax

(863) 324-4783

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 names 1

• Kenneth Fraser Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Metcare of Florida, Inc

  dba Conviva Care Center

  • Internal Medicine Physician
  • Port Orange, FL
  • NPI 1619433869
  NPD (past)
• Metcare of Florida, Inc

  dba Conviva Care Center

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1902893225
  NPD (past)
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538171301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 CYPRESS GARDENS BLVD",
            "address_2": "SE WINTER HAVEN FAMILY HEALTH CENTER",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "863-324-4725",
            "fax_number": "863-324-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 CYPRESS GARDENS BLVD",
            "address_2": "SE WINTER HAVEN FAMILY HEALTH CENTER",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33884",
            "telephone_number": "863-324-4725",
            "fax_number": "863-324-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "EDWARD",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME44244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "FRASER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roberto J Fraile, M.D.
• Andrea Francis, M.D.
• Candice Franklin
• Ciandra Franklin, MD
• Gheelah J Franklin, OTA
• Elzie Dwight Frazier
• Freedom Medical Transport LLC
• Fresenius Medical Care Winter Lake, LLC (Fresenius Kidney Care Winter Lake)
• Stephen R Freshley
• Dwayne Charles Frisch, L-HIS

• Family Medicine Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Family Medicine Physician in Florida

• 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.