Individual provider Active NPI

Owen D Fraser, MD

  • Surgery Physician
  • Orlando, FL
National Provider Identifier
1982760690
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0030256 Issued in FL
Practice address
1805 W Colonial Dr Ste a
Orlando, FL 32804-7011
Phone
(728) 209-3880
Fax
(728) 209-7117
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0030256 FL Primary

Addresses

Primary practice location

1805 W Colonial Dr Ste a
Orlando, FL 32804-7011

Mailing address

1805 W Colonial Dr Ste a
Orlando, FL 32804-7011
Phone (728) 209-3880

Other practice location 1

610 E Zack St Ste 630
Tampa, FL 33602-3973
Phone (800) 734-1367

Other identifiers 1

IdentifierTypeStateIssuer
058757500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0030256FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Injury Care Provider Network Surgery PastSince Apr 13, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1982760690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W COLONIAL DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047011",
            "telephone_number": "728-209-3880",
            "fax_number": "728-209-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W COLONIAL DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047011",
            "telephone_number": "728-209-3880",
            "fax_number": "728-209-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 E Zack St Ste 630",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336023973",
            "country_code": "US",
            "telephone_number": "800-734-1367",
            "fax_number": "728-290-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASER",
        "first_name": "OWEN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0030256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058757500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.