WENDY AMBER FRYE (NPI# 1053340646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053340646 |
| Entity Type | Individual |
| Full Name | WENDY AMBER FRYE |
| Credential | M.D. |
| Practice Address |
1315 Hospital Drive St. Johnsbury VT 05819 |
| Practice Telephone | 9897317987 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4301082602 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RR PROV ID | CC4805 | 01 | |
| MI | BCBSM PROVIDER NUMBER | 0206910342 | 01 |
| CAQH PROVIDER ID | 11276527 | 01 | |
| MI | 4785784 | 05 | |
| MI | MEDICARE GROUP ID | 0F96004 | 01 |
| Street Address |
1315 HOSPITAL DRIVE |
| City | ST. JOHNSBURY |
| State | VT |
| Zip Code | 05819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922341825 | Michael Lahey | Emergency Medicine | 1315 Hospital Drive, Northeastern Vermont Regional Hospital, St. Johnsbury, VT 05819-0905 | 2013-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003118563 | Northwestern Medical Center, Inc. | Surgery | 1 Crest Rd, Suite B, Saint Albans, VT 05478-9753 | 2010-12-03 |
| 1760796742 | Mark E. Crane Md, LLC | Surgery | 286 Hospital Loop Rd, Suite 10, Berlin, VT 05602-8497 | 2010-08-02 |
| 1144551326 | Andrew John Erickson | Surgery | 38 State Farm Rd Fl 1, Waterbury, VT 05676-1607 | 2010-01-27 |
| 1184898033 | John J Cope | Surgery | 17 Belmont Ave Ste 1, Brattleboro, VT 05301 | 2008-04-22 |
| 1043338148 | David W. Butsch | Surgery | 3270 Airport Road Berlin, Barre, VT 05641 | 2007-03-27 |
| 1871629816 | Joseph Michael Salomone | Surgery | 53 Fairfax Road, Suite #2, Saint Albans, VT 05478-4005 | 2007-02-26 |
| 1811069644 | Donald A Majercik | Surgery | 18 Pearl Street, Essex Junction, VT 05452 | 2006-11-15 |
| 1174545123 | Eduards Gunars Ziedins | Surgery | 130 Fisher Rd Ste 3-1, Berlin, VT 05602-9000 | 2006-07-25 |
| 1558382929 | Benjamin Wyatt Forbush | Surgery | Va Medical Ctr # 112, 215 North Main Street, White River Junction, VT 05009-0001 | 2006-07-21 |
| 1275553604 | David Angstreich | Surgery | Fisher Road, Number 547, Barre, VT 05641 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | ST. JOHNSBURY |
| Zip Code | 05819 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.