Individual provider Active NPI

Kolton Fraser, DO

  • Emergency Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1902397789
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-14247 Issued in AR
Practice address
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone
(870) 424-3181
Fax
(870) 424-3089
NPI assigned
May 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-14247 AR Primary

Addresses

Primary practice location

624 Hospital Dr
Mountain Home, AR 72653-2955

Mailing address

860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200
Phone (870) 424-3181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AR, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200831002965 AZ Practitioner - Emergency Medicine 7113344524 Reassigns benefits to 1 organization
I20210722001858 AR Practitioner - Emergency Medicine 7113344524 Reassigns benefits to 3 organizations
I20240812003214 MT Practitioner - Emergency Medicine 7113344524 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-14247ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Billings Clinic Emergency Medicine Current Accepting new patients
Baxter Health Fulton County Hospital CurrentSince Jan 1, 2026 Accepting new patients
CMSC, LLC CurrentSince Jul 22, 2024 Accepting new patients
Arizona Emergency Medicine Specialists PC Emergency Medicine CurrentSince Aug 17, 2020 Accepting new patients
Billings Clinic CurrentSince Aug 5, 2024 Accepting new patients
Billings Clinic CurrentSince Aug 5, 2024 Accepting new patients
Baxter Emergency Group PLLC Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

860 Highway 62 E
Ste 10
Mountain Home, AR 72653
Phone (870) 424-2224

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

Organizations & group practices 9

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMSC LLC 92 clinicians
Baxter Emergency Group PLLC 12 clinicians

Practice addresses (Care Compare)

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 425-6322

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • Baxter Health Fulton County Hospital Hospital, Salem, AR, CCN 041322
  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1902397789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "KOLTON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-28",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-14247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.