Kenneth Robert Fraser, KENNETH FRASER MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

7913 Issued in AZ

Practice address

3501 North Scottsdale Road
Suite 150
Scottsdale, AZ 85251-5632

Phone

(480) 949-5886

Fax

(480) 949-8018

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kenneth Robert Fraser Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1942397930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD",
            "address_2": "SUITE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515648",
            "telephone_number": "480-949-5886",
            "fax_number": "480-949-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 NORTH SCOTTSDALE ROAD",
            "address_2": "SUITE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515632",
            "telephone_number": "480-949-5886",
            "fax_number": "480-949-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "KENNETH FRASER MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "7913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232653",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "FRASER",
            "middle_name": "ROBERT",
            "credential": "KENNETH FRASER MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shuronda Franklin
• Marja Frankson, FNTP
• Geraldine M Franquist, SLPA
• Peter Eugene Frasco, MD
• Cory R Fraser, M.D.
• Fratantoni Lifestyles LLC
• Janet Chao Fratantoni, ED.D.
• Gary R Fratesi, M.D.
• Mary C Frazee, NP
• Haley Grace Frazier, PA-C

• Obstetrics & Gynecology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.