Koach Baruch Frazier, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

2004017636 Issued in MO

Practice address

9835 Manchester Rd
Saint Louis, MO 63119-1243

Phone

(314) 968-4710

Fax

(314) 968-4762

NPI assigned

Jun 6, 2006

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rebecca L Frazier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Center for Hearing & Speech

  • Audiologist
  • Saint Louis, MO
  • NPI 1407942527
  NPD (past)
• Easter Seals Midwest

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1871625582
  NPD (past)
• Southeast Mo ENT Consultants LTD

  • Otolaryngic Allergy Physician
  • Cape Girardeau, MO
  • NPI 1932154390
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1942249768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191243",
            "telephone_number": "314-968-4710",
            "fax_number": "314-968-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191243",
            "telephone_number": "314-968-4710",
            "fax_number": "314-968-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "KOACH",
        "middle_name": "BARUCH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "2004017636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FRAZIER",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Colleen Frazier-Gaitan, FNP- BC
• Debra A Frazier, CRNA
• Denitra J Frazier
• Indya Serrae Frazier
• Isla B Frazier, MSW, LMSW
• Robert C Frazier, M.D.
• Theresa Marie Frazier, APRN,BC,ACNP
• Abigail Marie Frech
• Frederick Customeyez in St. Louis
• Frederick Customeyez Prosthetics LLC

• Audiologist-Hearing Aid Fitter in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Audiologist-Hearing Aid Fitter in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.