Active NPI
Owen D Fraser, MD
- Surgery Physician
- Orlando, FL
National Provider Identifier
1982760690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0030256
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058757500 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0030256 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Injury Care Provider Network | Surgery | Past | 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.
-
- Surgery Physician
- Orlando, FL
- NPI 1851861348
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.