Active NPI
Kolton Fraser, DO
- Emergency Medicine Physician
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-14247
- 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
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 |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| E-14247 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter Health Fulton County Hospital | Current | Accepting new patients | |
| Billings Clinic | Emergency Medicine | Current | Accepting new patients |
| Baxter Health Fulton County Hospital | Current | Accepting new patients | |
| CMSC, LLC | Current | Accepting new patients | |
| Arizona Emergency Medicine Specialists PC | Emergency Medicine | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Baxter Emergency Group PLLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Mountain Home, AR
- NPI 1245560424
AR, Emergency Medicine
-
- Emergency Medicine Physician
- Lake Havasu City, AZ
- NPI 1134439706
AZ, Emergency Medicine
-
- Rural Health Clinic/Center
- Salem, AR
- NPI 1952132946
-
- Family Medicine Physician
- Billings, MT
- NPI 1033164447
-
- General Practice Physician
- Billings, MT
- NPI 1376598714
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
Hospital
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
Hospital
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 LLCBaxter Emergency Group PLLC
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
- Baxter Health Fulton County Hospital
- Great Falls Clinic Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.