Individual ProviderJordan Philip FrazierStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-5394PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Philip Frazier does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114629474Provider TypeIndividualFull NameFrazier, Jordan PhilipCredentialMDGenderMaleSole ProprietorYesEnumeration Date3/20/2023Last Updated6/10/2024Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-5394FaxUnlisted FaxMailing LocationMailing Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-5394FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer