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EDITH FRALEY M.D. FACEP NPI 1629095187


NPI Information

NPI: 1629095187
Provider Name: EDITH FRALEY, M.D., FACEP
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
800 E CARPENTER ST
SPRINGFIELD, IL
ZIP 62769
Phone: (217) 464-2966
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Edith Fraley, M.D., FACEP is an emergency medicine in Springfield, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Edith Fraley, M.D., FACEP NPI is 1629095187. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 E CARPENTER ST
SPRINGFIELD, IL
ZIP 62769-002
Phone: (217) 464-2966

The enumeration date for this NPI number is 7/17/2006 and was last updated on 2/8/2008.


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
1207P00000XEmergency MedicineT8340MISSOURINo
2207P00000XEmergency MedicineC-5539ARKANSASNo
3207P00000XEmergency MedicineMD-041041-EPENNSYLVANIANo
4207P00000XEmergency Medicine168603NEW YORKNo
5207P00000XEmergency Medicine35-047370OHIONo
6207P00000XEmergency Medicine01030295AINDIANANo
7207P00000XEmergency Medicine15267NEBRASKANo
8207P00000XEmergency MedicineILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K35400MEDICARE PINILLINOIS
2L67829MEDICARE PINILLINOIS
3B81799MEDICARE UPIN

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: 11/14/2023

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.