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FRASER PROFESSIONAL MEDICAL GROUP LLC NPI 1184045726


NPI Information

NPI: 1184045726
Provider Name: FRASER PROFESSIONAL MEDICAL GROUP LLC

Doing Business As: FLYING HORSE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2178372

Address:
1615 SILVERSMITH RD
COLORADO SPRINGS, CO
ZIP 80921
Phone: (719) 433-5255
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FRASER PROFESSIONAL MEDICAL GROUP LLC is a family medicine in Colorado Springs, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FRASER PROFESSIONAL MEDICAL GROUP LLC NPI is 1184045726. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Flying Horse Medical Center.

The provider's business location address is:

1615 SILVERSMITH RD
COLORADO SPRINGS, CO
ZIP 80921-225
Phone: (719) 433-5255
Fax: (719) 488-6753

The provider's authorized official is Aaron S. Fraser .
The authorized official title is Medical Director and has the following contact phone number (719) 433-5255.

The CLIA number assigned to this NPI record is 06D2178372 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/28/2013 and was last updated on 1/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine50395COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.