David B Fraser, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24957 Issued in IA

Practice address

19942 Saint Joseph Dr
Centerville Medical Clinic
Centerville, IA 52544-8849

Phone

(641) 856-8684

Fax

(641) 856-3009

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Medical Center-Centerville

  • Emergency Care Clinic/Center
  • Centerville, IA
  • NPI 1528018801
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1801887476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19876 SAINT JOSEPH DR",
            "address_2": "CENTERVILLE MEDICAL CLINIC",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448850",
            "telephone_number": "641-856-8684",
            "fax_number": "641-856-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19942 SAINT JOSEPH DR",
            "address_2": "CENTERVILLE MEDICAL CLINIC",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525448849",
            "telephone_number": "641-856-8684",
            "fax_number": "641-856-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "24957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023317",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00000619",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Charles Eckles, DC
• Laurel Lea Eicher, RN, MSN, ACGNP
• Brittany Ann Enlow, ARNP, FNP-C
• Tabitha Farris
• First Resources Corp
• Fresenius Medical Care Cline Dialysis, LLC (Fresenius Medical Care Cline Family Dialysis Center)
• Bailee Geitzenauer, ARNP, FNP-C
• Golden Age Properties LLC (Golden Age Care Center)
• Golden Age, Inc. (Golden Age Skilled Nursing & Rehab)
• Paula Sue Gordy, LISW

• Family Medicine Physician in Centerville, IA
• Providers in Centerville, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.