Fraley Clinic PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

FRALEY CLINIC PLLC

Practice address

925 W I 35 Frontage Rd Ste 100
Edmond, OK 73034-7399

Phone

(405) 471-5460

Fax

(405) 471-6513

NPI assigned

Jul 25, 2017

Last updated

Jan 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Fraley, MDNPI 1487660585

Title

Physician Owner

Phone

(405) 471-5460

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550

  O20171024002964

  Same enrollment
• Oklahoma Spine Hospital LLC

  dba Oklahoma Spine Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1699745893

  O20171024002964

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Fraley, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Edmond, OK
  • NPI 1487660585
  Medicare reassignment Care Compare group Authorized official
• Dana S Cortez, P.A.-C

  • Medical Physician Assistant
  • Edmond, OK
  • NPI 1881886851
  Medicare reassignment Care Compare group NPD
• Jeana Backus, APRN-FNP

  • Family Nurse Practitioner
  • Edmond, OK
  • NPI 1700447356
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1568985182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 W I 35 FRONTAGE RD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347399",
            "telephone_number": "405-601-6181",
            "fax_number": "405-601-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W I 35 FRONTAGE RD STE 100",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347399",
            "telephone_number": "405-471-5460",
            "fax_number": "405-471-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRALEY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "FRALEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "405-471-5460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foundation Weightwise Services, LLC (WeightWise at Edmond)
• Steven Shawn Fowler, LPC
• Kimberly A Fox, MS, CCC-SLP
• Rachel Fox
• Gricelda Fragoso, PSY.D.
• Andrea Fraley, MD
• Gary Bob Fraley, M.D.
• Vanessa Yamileth Franco
• Madison R Frank, MS
• Paul Raymond Frank, DC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.