Jared A Frazin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35920 Issued in MN

Practice address

9332 Rich Rd
Bloomington, MN 55437-2074

Phone

(952) 831-9104

NPI assigned

Jul 1, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1790947539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 RICH RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372074",
            "telephone_number": "952-831-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 RICH RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372074",
            "telephone_number": "952-831-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIN",
        "first_name": "JARED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "35920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Fox, PHARM.D.
• Ella Rae Francis, PA-C
• Vanessa Blanche Francis
• Frank Russomanno, Jr, DDS, P.a.
• Travis Lawrence Frantz, M.D.
• Jason Michael Fredericks, DC
• Brittany Morgan Fredrickson, MD
• Freedom Health Care, Inc.
• Daniel Freeman
• Freitag Family Chiropractic LLC

• Internal Medicine Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.