Organization Active NPI

Wayne J M Fraser MD PA

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1659511699
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAYNE J M FRASER MD PA
Practice address
660 N State Road 7 Ste 4a
Plantation, FL 33317-2117
Phone
(954) 581-0088
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Wayne JM Fraser, MD
Title
President
Phone
(954) 581-0088

Specialties & licenses 1

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

Addresses

Primary practice location

660 N State Road 7 Ste 4a
Plantation, FL 33317-2117

Mailing address

660 N State Road 7 Ste 4a
Plantation, FL 33317-2117
Phone (954) 581-0088

National Provider Directory

National Provider Directory

Locations

2331 N State Road 7
Ste 202
Lauderdale Lakes, FL 33313
Phone (954) 581-0088

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1659511699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N STATE ROAD 7 STE 4A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172117",
            "telephone_number": "954-581-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N STATE ROAD 7 STE 4A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172117",
            "telephone_number": "954-581-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE J M FRASER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "JM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-581-0088",
        "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 Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.