NPIMap

Organization Active NPI

Mark a Frazier MD LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orem, UT
National Provider Identifier
1538524202
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
3094404-1205 Issued in UT
Legal business name
MARK A FRAZIER MD LLC
Practice address
560 W 800 N
Orem, UT 84057-3746
Phone
(801) 701-6504
Fax
(801) 225-1525
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Mark Frazier, MD
Title
Owner
Phone
(801) 701-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X 3094404-1205 UT Primary

Addresses

Primary practice location

560 W 800 N
Orem, UT 84057-3746

Mailing address

560 W 800 N
Orem, UT 84057-3746
Phone (801) 701-6504

National Provider Directory

National Provider Directory
Tax ID family
Utah Cnty Medical Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1538524202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-701-6504",
            "fax_number": "801-225-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-701-6504",
            "fax_number": "801-225-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A FRAZIER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-701-6504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "UT",
            "license": "3094404-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.