Organization Active NPI

Express Med Family Care LLC

  • Family Medicine Physician
  • Spanish Fork, UT
National Provider Identifier
1639459035
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EXPRESS MED FAMILY CARE LLC
Practice address
415 N Main St
Spanish Fork, UT 84660-1439
Phone
(801) 798-8133
Fax
(801) 798-8144
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Dr. Mark Alan Frazier, MD
Title
Owner/President
Phone
(801) 798-8133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

415 N Main St
Spanish Fork, UT 84660-1439

Mailing address

415 N Main St
Spanish Fork, UT 84660-1439
Phone (801) 798-8133

National Provider Directory

National Provider Directory

Locations

415 N Main St
Spanish Fork, UT 84660
Phone (801) 798-9700

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1639459035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601439",
            "telephone_number": "801-798-8133",
            "fax_number": "801-798-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601439",
            "telephone_number": "801-798-8133",
            "fax_number": "801-798-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MED FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "801-798-8133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.