DR. TYLER WAYNE FRASER MD
NPI 1629464896
Orthopaedic Surgery - Foot and Ankle Surgery in Memphis, TN
NPI Status: Active since April 14, 2015
Contact Information
1244 PRIMACY PKWY
MEMPHIS, TN
ZIP 38119
Phone: (901) 767-8662
Fax: (901) 767-8666
- Individual
- Male
- Years of Experience 11
- Orthopaedic Surgery
- Foot and Ankle Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TYLER FRASER
This page provides the complete NPI Profile along with additional information for Tyler Fraser, a provider established in Memphis, Tennessee with a medical specialization in Orthopaedic Surgery, focusing in foot and ankle surgery and more than 11 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 2015. The healthcare provider is registered in the NPI registry with number 1629464896 assigned on April 2015. The practitioner's primary taxonomy code is 207XX0004X with license number 62663 (TN). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1629464896
- Provider Name
- DR. TYLER WAYNE FRASER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1244 PRIMACY PKWY MEMPHIS, TN 38119
- Location Phone
- (901) 767-8662
- Location Fax
- (901) 767-8666
- Mailing Address
- 6077 PRIMACY PKWY STE 140 MEMPHIS, TN 38119
- Mailing Phone
- (901) 786-4198
- Medical School Name
- UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-14-2015
- Last Update Date
- 08-02-2021
- Code Navigator
Location Map
Secondary Locations
- 2100 Exeter Rd
Germantown, TN 38138
(901) 641-3000 - 3045 Kate Bond Rd
Bartlett, TN 38133
(901) 381-4664
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Foot and Ankle Surgery
- Taxonomy Code
- 207XX0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 62663
- License State
- TN
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value (No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
62663 | OTHER (01) | TN | TN LICENSE |
Medicare Participation & PECOS Enrollment Status
Tyler Fraser is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Tyler Fraser is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6103257779
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210609001060
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
2 DME suppliers used 17 Medicare Claims 17 Services Paid
DME-Wheelchairs (DD000N)
Heavy duty wheelchair (HCPCS:K0006)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
1 DME suppliers used 22 Medicare Claims 22 Services Paid
Orthotic Devices
DME-Orthotic Devices (DF003N)
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf (HCPCS:L1902)
3 DME suppliers used 20 Medicare Claims 23 Services Paid
DME-Orthotic Devices (DF003N)
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf (HCPCS:L4361)
2 DME suppliers used 62 Medicare Claims 62 Services Paid
DME-Orthotic Devices (DF000N)
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf (HCPCS:L4387)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration and/or injection of fluid from medium joint
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Initial hospital inpatient care per day, typically 50 minutes
Initial hospital inpatient care per day, typically 70 minutes
Injection into tendon or ligament
Injection, methylprednisolone acetate, 80 mg
Knee replacement
Lower limb (leg) arthroscopy (minimally invasive joint repair)
Melanoma (skin cancer) excision
Mri scan of leg joint without contrast
Mri scan of leg without contrast
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Treatment of broken neck of thigh bone with bone implant
X-ray of ankle, minimum of 3 views
X-ray of foot, minimum of 3 views
X-ray of hip, 2-3 views
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
This service was performed 16 times for 15 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 449 times for 247 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 209 times for 147 patientsInitial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
This service was performed 22 times for 22 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 45 times for 45 patientsAn injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
This service was performed 15 times for 13 patientsMethylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
This service was performed 36 times for 25 patientsA knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
This service was performed for 1-10 patientsLower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.
This service was performed for 1-10 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 51 times for 25 patientsAn MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.
This service was performed 29 times for 14 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 61 times for 61 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 47 times for 47 patientsThis procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
This service was performed 18 times for 18 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 138 times for 83 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 270 times for 197 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 35 times for 19 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tyler Fraser is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
ST FRANCIS HOSPITAL | 5959 PARK AVE MEMPHIS, TN 38119 | (901) 765-1000 | Acute Care Hospitals | |
SAINT FRANCIS BARTLETT MEDICAL CENTER | 2986 KATE BOND RD BARTLETT, TN 38133 | (901) 820-7050 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 2 | 9 | 4 | 6 | 4 | 8 | 9 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 4 | 9 | 8 | 6 | 8 | 8 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 4 + 9 + 8 + 6 + 8 + 8 + 1 + 8 + 24 = 84 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
90 - 84 = 6 | 6 |
The NPI number 1629464896 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1942275896 | OWEN B. TABOR SR. M.D. Individual | Orthopaedic Surgery | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1235140211 | JAY M. SAENZ M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1972579605 | ROBERT P. LONERGAN III M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1659631794 | MRS. EMILY K CROSS APN Individual | Nurse Practitioner (Adult Health) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 641-3000 |
1780109009 | WILLIAM RAY CLARK II PA-C Individual | Physician Assistant (Medical) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 641-3000 |
1780976142 | KATHERINE DIANNE DRAPER P.T. Individual | Physical Therapist | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 759-1282 |
1902028947 | SAMUEL RAY SCHROERLUCKE M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1346215209 | OWEN B. TABOR JR. M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1578538443 | FREDERICK GREGORY WOLF M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1407122203 | SPENCER WILLIAM HAUSER M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1891967147 | TYLER AUSTIN CANNON M.D. Individual | Orthopaedic Surgery | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1225528482 | KELLI SUE ALLEN PT Individual | Physical Therapist | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8690 |
1558038026 | ANDREW TIMOTHY CONNER PT, DPT Individual | Physical Therapist | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8690 |
1255584009 | MSK GROUP, PC Organization | Orthopaedic Surgery | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1568087997 | VICTORIA DANIELLE BRADLEY OTR/L Individual | Occupational Therapist | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8690 |
1336766039 | ANDREW BOYD HAMRICK OTR/L Individual | Occupational Therapist | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8690 |
1982698890 | MRS. JUDITH RAE LEE-SIGLER MD Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8662 |
1801661434 | MRS. ADRIENNE LANIER BRUMLEY NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 699-4389 |
1629877394 | ALEXANDRIA NICOLE PETERSON DPT Individual | Physical Therapist | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8690 |
1447050414 | MARGO WRAY HALEY OTR/L Individual | Occupational Therapist | 1244 PRIMACY PKWY MEMPHIS, TN 38119 (901) 767-8690 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629464896, enumerated in the NPI registry as an "individual" on April 14, 2015
The provider is located at 1244 Primacy Pkwy Memphis, Tn 38119 and the phone number is (901) 767-8662
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XX0004X with a focus in Foot and Ankle Surgery
The provider has more than 11 years of experience. He graduated from University Of Tennessee, Hsc, College Of Medicine in 2015.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from medium joint, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Injection into tendon or ligament, Injection, methylprednisolone acetate, 80 mg, Knee replacement, Lower limb (leg) arthroscopy (minimally invasive joint repair), Melanoma (skin cancer) excision, Mri scan of leg joint without contrast, Mri scan of leg without contrast, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Treatment of broken neck of thigh bone with bone implant, X-ray of ankle, minimum of 3 views, X-ray of foot, minimum of 3 views and X-ray of hip, 2-3 views.
The practitioner is affiliated to the following hospital(s): ST FRANCIS HOSPITAL and SAINT FRANCIS BARTLETT MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on April 14, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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