Active NPI
Michael James Frazier, DPM
- Podiatrist
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 669
- Practice address
- 33801 1St Way S
Suite 105
Federal Way, WA 98003-4546 - Phone
- (253) 838-8377
- Fax
- (253) 838-9474
- NPI assigned
- Aug 17, 2005
- Last updated
- Feb 24, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 669 | WA | Primary |
Addresses
Primary practice location
33801 1St Way S
Suite 105
Federal Way, WA 98003-4546
Mailing address
33801 1St Way S
Suite 105
Federal Way, WA 98003-4546
Phone (253) 838-8377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1115757 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
33801 1St Way S
Suite 105
Federal Way, WA 98003-6224
Phone (253) 838-8377
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 247 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 72 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669 | WA | MD | Psychologist |
| PO 669 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Campus Foot & Ankle Clinic Inc | Podiatrist | Current | Accepting new patients |
| Surgery Center Enumclaw | Past | Accepting new patients | |
| Ankle & Foot Specialists of Puget Sound, PS | Podiatrist | Past | Accepting new patients |
Locations
33801 1st Way S
Ste 105
Federal Way, WA 98003
Phone (253) 838-8377
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- michaelfrazier@wcfaaci-wa.direct.office.nextgen.com
Organizations & group practices 3
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.
-
- Podiatrist
- Federal Way, WA
- NPI 1700283793
-
dba Ankle & Foot Specialist of Redmond
- Podiatrist
- Redmond, WA
- NPI 1902167471
-
- Ambulatory Surgical Clinic/Center
- Enumclaw, WA
- NPI 1649368341
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tacoma General Allenmore
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
dba St Francis Pac Lab
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1336353069
Hospital
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1881686731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33801 1ST WAY S",
"address_2": "SUITE 105",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034546",
"telephone_number": "253-838-8377",
"fax_number": "253-838-9474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33801 1ST WAY S",
"address_2": "SUITE 105",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034546",
"telephone_number": "253-838-8377",
"fax_number": "253-838-9474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "PO 669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1115757",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.