Fraser Professional Medical Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FRASER PROFESSIONAL MEDICAL GROUP LLC

Practice address

9475 Briar Village PT Ste 120
Colorado Springs, CO 80920-7902

Phone

(719) 633-5255

Fax

(719) 488-6753

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

FRASER PROFESSIONAL MEDICAL GROUP LLCAs reported in NPPES

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

Authorized official

Name

Aaron Soots Fraser, D.O.NPI 1629114335

Title

Owner

Phone

(719) 633-5255

Specialties & licenses 1

Addresses

Tax ID family

Fraser Professional Medical3 organizations share this tax ID, including this one

Part of

Fraser Professional Medical

Other organizations with this tax ID 2

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

• Fraser Professional Medical Group

  dba Flying Horse Medical Center

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1215790993
  NPD tax ID
• Fraser Professional Medical Group LLC

  dba Flying Horse Medical Center

  • Family Medicine Physician
  • Monument, CO
  • NPI 1194313346
  NPD tax ID

Locations

Practitioners 1

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.

• Aaron Soots Fraser, D.O.

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1629114335
  NPD (past) Authorized official

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1598578528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SILVERSMITH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217225",
            "telephone_number": "719-633-5255",
            "fax_number": "719-488-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207902",
            "telephone_number": "719-633-5255",
            "fax_number": "719-488-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRASER PROFESSIONAL MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRASER PROFESSIONAL MEDICAL GROUP LLC",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "SOOTS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-633-5255",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Franz, LCSW
• Edward Ronald Franzen, LPC
• Adriana Frascone
• Fraser Professional Medical Group (Flying Horse Medical Center)
• Fraser Professional Medical Group LLC (Flying Horse Medical Center)
• Aaron Soots Fraser, D.O.
• Anthony Austin Fraser, BT
• Tiffany Fraser
• Jordan Leigh Frasier
• Amber Fratini

• Primary Care Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.