Individual provider Active NPI

Percy L. Frasier, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1578556767
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35049472 Issued in OH
Practice address
1989 Miamisburg Centerville Rd
Dayton, OH 45459-3859
Phone
(937) 401-6822
Fax
(937) 401-6935
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35049472 OH Primary

Addresses

Primary practice location

1989 Miamisburg Centerville Rd
Dayton, OH 45459-3859

Mailing address

1989 Miamisburg Centerville Rd Ste 204
Dayton, OH 45459-3858
Phone (937) 401-6822

Other identifiers 1

IdentifierTypeStateIssuer
0528807MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pfrasier8162@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000186 OH Practitioner - Obstetrics/Gynecology 0840200846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35049472OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Osteopathic Hospital Obstetrics & Gynecology CurrentSince Apr 27, 2000 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Apr 27, 2000 Accepting new patients
Dayton Osteopathic Hospital Current Accepting new patients
Alliance Physicians Inc Obstetrics & Gynecology Current Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients

Locations

1989 Miamisburg Centerville Rd
Ste 201
Dayton, OH 45459
Phone (937) 401-7575

300 Forest Ave
Ste 101
Dayton, OH 45405
Phone (937) 531-7104

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

330 Forest Ave
Dayton, OH 45405
Phone (937) 436-1433

1989 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (513) 438-6550

1989 Miamisburg Centerville Rd
Ste 204
Dayton, OH 45459
Phone (937) 384-6822

2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1578556767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD STE 204",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593858",
            "telephone_number": "937-401-6822",
            "fax_number": "937-401-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593859",
            "telephone_number": "937-401-6822",
            "fax_number": "937-401-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASIER",
        "first_name": "PERCY",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35049472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0528807",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pfrasier8162@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1989 Miamisburg Centerville Rd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1989 Miamisburg Centerville Rd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.