Active NPI
Aaron Soots Fraser, D.O.
- Family Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1629114335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0050395
- Practice address
- 1615 Silversmith Rd
Colorado Springs, CO 80921-7225 - Phone
- (719) 633-5255
- Fax
- (719) 488-6753
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0050395 | CO | Primary |
Addresses
Primary practice location
1615 Silversmith Rd
Colorado Springs, CO 80921-7225
Mailing address
1615 Silversmith Rd
Colorado Springs, CO 80921-7225
Phone (719) 633-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050395 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fraser Professional Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Fraser Professional Medical Group | Family Medicine | Past | Accepting new patients |
| Fraser Professional Medical Group LLC | Past | Accepting new patients | |
| Fraser Professional Medical Group LLC | Family Medicine | Past | Accepting new patients |
Locations
1615 Silversmith Rd
Colorado Springs, CO 80921
Phone (719) 323-5772
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1184045726
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1215790993
-
- Family Medicine Physician
- Monument, CO
- NPI 1194313346
-
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1598578528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1629114335",
"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": "1615 SILVERSMITH RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809217225",
"telephone_number": "719-633-5255",
"fax_number": "719-488-6753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "AARON",
"middle_name": "SOOTS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "0050395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.