NPIMap

Individual provider Active NPI

Samantha Jo Frazier, DO

  • Family Medicine Physician
  • Madison, WV
National Provider Identifier
1982132866
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3612 Issued in WV
Practice address
515 Main St
Madison, WV 25130-1417
Phone
(304) 369-0393
Fax
(304) 369-0371
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ED0687 WV
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 3612 WV Primary

Addresses

Primary practice location

515 Main St
Madison, WV 25130-1417

Mailing address

515 Main St
Madison, WV 25130-1417
Phone (304) 369-0393

Other practice location 1

400 N Jefferson St
Lewisburg, WV 24901-1177
Phone (304) 645-3220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616002064 WV Practitioner - Family Practice 9335561513 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womencare IncGroup PAC ID 4587568134, shared by 19 NPIs, 52 clinicians

Practice addresses (Care Compare)

301 Washington Ave
Dunbar, WV 25064-3420
Phone (304) 766-3323

5161 Washington St W
Cross Lanes, WV 25313-1535
Phone (304) 757-6999

97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Hospital & facility affiliations

  • Boone Memorial Hospital Hospital, Madison, WV, CCN 511313
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3612WVMDFamily Medicine Physician
ED0687WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare Inc CurrentSince Jul 1, 2020 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc CurrentSince Jul 1, 2020 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc CurrentSince Jul 1, 2020 Accepting new patients
Womencare Inc Current Accepting new patients
Women Care Inc Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients

Locations

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466

812 Park Ave
Rm 35
Charleston, WV 25302

100 Florida St
Charleston, WV 25302
Phone (304) 348-6613

1500 Greenbrier St
Ste 160
Charleston, WV 25311

108 Washington St W
Ste 201
Charleston, WV 25302
Phone (304) 345-2229

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

301 Washington Ave
Rm 4
Dunbar, WV 25064

301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

3109 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 562-2002

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

4513 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 768-7371

Interoperability endpoints

  • Direct secure messaging: samantha.frazier.1@7363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1982132866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301417",
            "telephone_number": "304-369-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301417",
            "telephone_number": "304-369-0393",
            "fax_number": "304-369-0371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249011177",
            "country_code": "US",
            "telephone_number": "304-645-3220",
            "fax_number": "304-647-1273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "ED0687",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

Verify at the official NPI Registry.