Organization Active NPI

Dr Charles a Fraraccio

  • Orthopaedic Surgery Physician
  • Stuart, FL
National Provider Identifier
1801069026
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME32708 Issued in FL
Legal business name
DR CHARLES A FRARACCIO
Practice address
2150 SE Salerno Rd Suite 110
Stuart, FL 34997
Phone
(772) 286-4100
Fax
(772) 223-5749
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Charles A Fraraccio, MD
Title
Orthopaedic Surgeon
Phone
(772) 286-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME32708 FL Primary

Addresses

Primary practice location

2150 SE Salerno Rd Suite 110
Stuart, FL 34997

Mailing address

2150 SE Salerno Rd Suite 110
Stuart, FL 34997
Phone (772) 286-4100

Other identifiers 1

IdentifierTypeStateIssuer
069200000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2150 SE Salerno Rd
Ste 110
Stuart, FL 34997
Phone (772) 286-4100

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1801069026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SE SALERNO RD SUITE 110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "772-286-4100",
            "fax_number": "772-223-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SE SALERNO RD SUITE 110",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "772-286-4100",
            "fax_number": "772-223-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES A FRARACCIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "FRARACCIO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "772-286-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME32708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069200000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.