Individual provider Active NPI

Marion M Fraser, DC

  • Chiropractor
  • Essex Junction, VT
National Provider Identifier
1851468326
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0060079970 Issued in VT
Practice address
21 Carmichael St Ste 104
Essex Junction, VT 05452-3186
Phone
(802) 825-6068
Fax
(802) 825-6068
NPI assigned
Nov 29, 2006
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0060079970 VT Primary

Addresses

Primary practice location

21 Carmichael St Ste 104
Essex Junction, VT 05452-3186

Mailing address

PO Box 2
Fairfax, VT 05454-0002
Phone (802) 825-6068

Other identifiers 1

IdentifierTypeStateIssuer
1019788MedicaidVT

Other names 1

  • Dr. Marion Minkwitz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000660 VT Practitioner - Chiropractic 5890892483 Practice locations: Waterbury, VT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 S Main St
Waterbury, VT 05676-9557
Phone (802) 825-6068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0060079970VTMDChiropractor
011718NYMDPediatric Physical Therapist
3097SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lockhart Family Chiropractic, PC CurrentSince Aug 3, 2009 Accepting new patients
Onion River Chiropractic, Inc Chiropractor PastSince Jun 23, 1993 Accepting new patients
Solomon Chiropractic Clinic Chiropractor PastSince May 19, 1992 Accepting new patients
Marion M Fraser DC Chiropractor PastSince Jul 1, 2014 Accepting new patients
Drivere Chiropractic & Wellness P.C. Chiropractor PastSince Mar 1, 2018 Accepting new patients

Locations

357 Ridge Rd
Queensbury, NY 12804
Phone (518) 792-1691

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1851468326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054540002",
            "telephone_number": "802-825-6068",
            "fax_number": "802-825-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CARMICHAEL ST STE 104",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523186",
            "telephone_number": "802-825-6068",
            "fax_number": "802-825-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "MARION",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "0060079970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019788",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "MINKWITZ",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.