Provider Demographics
NPI:1134119688
Name:EMERGENCY PHYSICIAN ASSOCIATES, PA
Entity Type:Organization
Organization Name:EMERGENCY PHYSICIAN ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-662-2480
Mailing Address - Street 1:PO BOX 730
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21705-0730
Mailing Address - Country:US
Mailing Address - Phone:301-631-9191
Mailing Address - Fax:301-631-1002
Practice Address - Street 1:400 W SEVENTH ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4506
Practice Address - Country:US
Practice Address - Phone:240-566-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH733OtherBCBS
MDK055OtherBCBS FEDERAL
WV0006578000Medicaid
MD762671100Medicaid
PA000845445Medicaid
MDH733Medicare ID - Type Unspecified