FRYECARE SPECIALTY CENTER LLC (NPI# 1174935860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174935860 |
| Entity Type | Organization |
| Organization Name | FRYECARE SPECIALTY CENTER LLC |
| Other Organization Name | FRYECARE VASCULAR SERVICES |
| Practice Address |
415 N Center St Suite 203 Hickory NC 28601-5057 |
| Mailing Address |
Po Box 743021 Atlanta GA 30374-3021 |
| Practice Telephone | 8283222005 |
| Practice Fax Number | 8283222159 |
| Mailing Telephone | 8283222005 |
| Mailing Fax Number | 8283222159 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
| Authorized Official Telephone | 4698932153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Fryecare Vascular Services | Doing Business As Name - Organization |
| Street Address |
415 N CENTER ST SUITE 203 |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054772 | Maureen Swartz | Nurse Anesthetist, Certified Registered | 415 N Center St, Suite 201, Hickory, NC 28601-5057 | 2005-09-23 |
| 1356865067 | Dlp Frye Medical Group LLC | Pediatrics | 415 N Center St, Hickory, NC 28601-5057 | 2017-08-03 |
| 1407376783 | Dlp Central Carolina Physician Practices LLC | Pediatrics | 415 N Center St, Hickory, NC 28601-5057 | 2017-06-27 |
| 1851830541 | Dlp Frye Medical Group LLC | Surgery | 415 N Center St, Suite 204, Hickory, NC 28601-5057 | 2017-02-15 |
| 1588103220 | Dlp Frye Medical Group LLC | Physical Medicine & Rehabilitation | 415 N Center St, Suite 203, Hickory, NC 28601-5057 | 2017-02-14 |
| 1568900660 | Dlp Frye Medical Group LLC | Nurse Practitioner | 415 N Center St, Suite 203, Hickory, NC 28601-5057 | 2017-02-08 |
| 1417314055 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 415 N Center St, Ste 203, Hickory, NC 28601-5057 | 2016-01-27 |
| 1740647809 | Dlp Frye Regional Medical Center LLC | Social Worker | 415 N Center St, Hickory, NC 28601-5057 | 2016-01-20 |
| 1619334950 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 415 N Center St, Ste. 203, Hickory, NC 28601-5057 | 2016-01-18 |
| 1467863191 | Caleb Andrew Depp | Nurse Anesthetist, Certified Registered | 415 N Center St, Suite 201, Hickory, NC 28601-5057 | 2014-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1851830541 | Dlp Frye Medical Group LLC | Surgery | 415 N Center St, Suite 204, Hickory, NC 28601-5057 | 2017-02-15 |
| 1528258357 | Christopher Allen Griggs | Surgery | 1899 Tate Blvd Se, Suite 2106, Hickory, NC 28602-4200 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1962756148 | Vein Essentials, PC | Surgery | 580 Mccarthy Blvd, New Bern, NC 28562-5217 | 2012-11-09 |
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1639310642 | Vcp Raleigh, LLC | Surgery | 6905 Knightdale Blvd Ste 105, Knightdale, NC 27545-6504 | 2009-03-20 |
| 1104001742 | Raleigh Vein & Laser Center Pa | Surgery | 10000 Falls of Neuse Rd., Suite 303, Raleigh, NC 27614 | 2008-01-02 |
| 1265613624 | Pinehurst Surgical Clinic Pa | Surgery | 1705b Berwick Dr, Laurinburg, NC 28352-5523 | 2007-11-14 |
| 1871791301 | Kathryn Lorann Davis | Surgery | 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | 2007-07-05 |
| 1578656773 | Coastal Carolina Surgical Associates, P.a. | Surgery | 1411 Physicians Drive, Wilmington, NC 28401-7338 | 2006-10-02 |
| 1750499851 | Michael David Lininger | Surgery | 149 Macarthur St, Asheboro, NC 27203-5410 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
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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.