TERRY L FRY (NPI# 1104873017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104873017 |
| Entity Type | Individual |
| Full Name | TERRY L FRY |
| Credential | MD |
| Practice Address |
401 Marina Dr Georgetown SC 29440-2410 |
| Practice Telephone | 8435467272 |
| Practice Fax Number | 8435460277 |
| Mailing Telephone | 8435467272 |
| Mailing Fax Number | 8435460277 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
14277 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 142777 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538360185 | Terry J Fry | Pediatrics | Chco, Ccbd, Bone Marrow Transplant, B115, 13123 E. 16th Avenue, Aurora, CO 80045 | 2007-05-30 |
| Street Address |
401 MARINA DR |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710022660 | Waccamaw Surgical Associates | Specialist | 401 Marina Dr, Georgetown, SC 29440-2410 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902043185 | Ear Nose Throat and Audiology Associates | Otolaryngology | 327 W South St, Union, SC 29379-2838 | 2009-01-09 |
| 1124087101 | Daniel L Rosner | Otolaryngology | 915 Medical Circle, Myrtle Beach, SC 29572 | 2006-03-20 |
| 1689723538 | Ear, Nose & Throat Associates of Florence | Otolaryngology | 800 E Cheves St, Suite 480, Florence, SC 29506-2650 | 2007-01-09 |
| 1215996822 | Calhoun D Cunningham | Otolaryngology | 1021 Cipriana Dr, Ste 220, Myrtle Beach, SC 29572-4621 | 2006-03-22 |
| 1346209848 | Richard C Osman | Otolaryngology | 915 Medical Circle, Myrtle Beach, SC 29572 | 2006-03-22 |
| 1669457016 | Raymond Samuel Kaplan | Otolaryngology | 125 Doughty St, Suite 280, Charleston, SC 29403-5736 | 2005-12-08 |
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on TERRY L FRY.
| 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.