Individual provider · NPI-1
Samantha Jo Frazier, DO
Family Medicine · Madison, WV
NPI number1982132866
StatusActive
Last updated in NPPESAug 24, 2022
Details
- NPI
- 1982132866
- Entity type
- Individual (NPI-1)
- Name
- Samantha Jo Frazier
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2017
- Certification date
- Aug 24, 2022
- Last updated
- Aug 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3612 | WV | Yes |
| 207Q00000X | Family Medicine | ED0687 | WV | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
515 Main StMadison, WV 25130-1417
Phone 304-369-0393 · Fax 304-369-0371
Mailing address
515 Main StMadison, WV 25130-1417
Phone 304-369-0393
Other practice locations
400 N Jefferson St
Lewisburg, WV 24901-1177
Lewisburg, WV 24901-1177
Phone 304-645-3220 · Fax 304-647-1273
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Madison, WV
- Courtney Adkins, DONPI 1174741672
- Boone Memorial Hospital, INCNPI 1871141366
- Andrew D Bryant, D.ONPI 1194018093
- Ronald D Chattin, DONPI 1770597171
- John D. Cook, DONPI 1235231192
- Dr. Christopher P Flanagan, D.O.NPI 1740224476
- Howard Wesley Lafferty Jr., DONPI 1508066648
- Brandy Lou Vannatter, doNPI 1184768392
- James Kenton Walker, DONPI 1265412472