Active NPI
Marion M Fraser, DC
- Chiropractor
- Essex Junction, VT
National Provider Identifier
1851468326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0060079970
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019788 | Medicaid | VT |
Other names 1
- Dr. Marion Minkwitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0060079970 | VT | MD | Chiropractor |
| 011718 | NY | MD | Pediatric Physical Therapist |
| 3097 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lockhart Family Chiropractic, PC | Current | Accepting new patients | |
| Onion River Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
| Solomon Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Marion M Fraser DC | Chiropractor | Past | Accepting new patients |
| Drivere Chiropractic & Wellness P.C. | Chiropractor | Past | 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.
-
- Chiropractor
- Waterbury, VT
- NPI 1669875027
-
- Clinic/Center
- Queensbury, NY
- NPI 1033382254
-
- Chiropractor
- Winooski, VT
- NPI 1124073754
-
- Chiropractor
- New Wilmington, PA
- NPI 1720327018
-
- Chiropractor
- Aiken, SC
- NPI 1568580397
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.