JOHN A FRY (NPI# 1760541056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760541056 |
| Entity Type | Individual |
| Full Name | JOHN A FRY |
| Credential | M.D. |
| Practice Address |
500 Gypsy Ln Youngstown OH 44504-1315 |
| Mailing Address |
77 Warren St # 5 Brighton MA 02135-3601 |
| Practice Telephone | 3308845790 |
| Practice Fax Number | 3308845766 |
| Mailing Telephone | 6174194700 |
| Mailing Fax Number | 6175625480 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35.067223 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
35.067223 | OH | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01054133A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 374005 | 01 |
| IN | 200326320 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4010 W Goeller Blvd, Ste. A, Columbus, IN 472018892 | 8123422100 | 8123420648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962945873 | John Fry | Registered Nurse | 209 Redington Way, Irmo, SC 29063-8014 | 2016-11-25 |
| 1700021003 | John Rudolph Fry | Ophthalmology | 3 Frith Dr, Asheville, NC 28803-3108 | 2008-12-16 |
| 1841233806 | John Samuel Fry | Chiropractor | 4600a Route 152, Lavalette, WV 25535-9702 | 2006-06-14 |
| 1689804932 | John S. Fry | Psychologist | 1300 Bristol St N, Suite 100, Newport Beach, CA 92660-2951 | 2009-07-21 |
| 1427240829 | John Michael Fry | Counselor | 543 Taylor Ave, Columbus, OH 43203-1278 | 2007-08-10 |
| 1871512236 | John Mack Fry | Family Medicine | 2750 S Campbell Ave, Springfield, MO 65807-3506 | 2006-07-18 |
| 1992744544 | John Reed Fry | Dentist | 2530 Perry Ave, Suite 200, Bremerton, WA 98310-5219 | 2006-06-06 |
| Street Address |
500 GYPSY LN |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44504-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838497 | Pediatric Imaging Associates, LLC | Specialist | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2005-06-01 |
| 1245899772 | Eric Laurence Trevizo | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-06-09 |
| 1891258968 | Shyam Krishna Poudel | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-07 |
| 1518429711 | Allen Tsai | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-04-05 |
| 1174084420 | Poonam Nayyer Choudhry | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1093276552 | Brittany Raisa Cools-lartigue | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-27 |
| 1104386176 | Noha Nabil Nasif Soror | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-25 |
| 1871053223 | Jakob Anthony Weaver | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-21 |
| 1245790807 | Emma Sayre | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-20 |
| 1639638596 | Erik Sven Coopes | Student in an Organized Health Care Education/Training Program | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458845 | Shay Kahani | Social Worker | 517 Gypsy Lane, Youngstown, OH 44504 | 2019-10-14 |
| 1497312573 | Parth Shah | Student in an Organized Health Care Education/Training Program | Western Reserve Health Education, 500 Gypsy Lane, Medical Office Building A, Youngstown, OH 44504 | 2019-05-23 |
| 1811455348 | Kisha Brady | Nurse Practitioner | 1350 Belmont Ave, Youngstown, OH 44504 | 2019-03-04 |
| 1750808473 | Janae White | Home Health | 2278 Cordova Ave, Youngstown, OH 44504 | 2017-08-23 |
| 1760910509 | Ryan Gallagher | Student in an Organized Health Care Education/Training Program | 1001 Covington Ave, Youngstown, OH 44504 | 2017-05-24 |
| 1649727314 | Bilal Abo Almakarim Kanawati | Specialist/Technologist, Other | 461 Gypsy Ln Apt 72, Youngstown, OH 44504 | 2016-09-09 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1962696419 | Earnest Perry, M.d., Inc. | Surgery | 1320 Belmont Avenue, Ste 2, Youngstonw, OH 44504 | 2007-08-28 |
| 1699839738 | Rodney Earl Hill | Family Medicine | 1350 Fifth Ave, Suite 324, Youngstown, OH 44504 | 2006-12-21 |
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| Find all providers in zip 44504 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799347 | Warren Endovascular Associates LLC | Internal Medicine | 1950 Niles Cortland Rd Ne Ste 12, Warren, OH 44484-1077 | 2020-08-07 |
| 1821570128 | Rishi Puri | Internal Medicine | 9500 Euclid Ave # J2-208, Cleveland, OH 44195-0001 | 2018-09-04 |
| 1760980049 | Cardiac Cin of Columbus LLC | Internal Medicine | 175 S 3rd St Ste 200-248, Columbus, OH 43215-5134 | 2018-01-31 |
| 1316445695 | Cardiac Cin of Cincinnati LLC | Internal Medicine | 9435 Waterstone Blvd Ste 140-302, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1720462591 | Midwest Access Services LLC | Internal Medicine | 7335 Yankee Rd Ste 101, Liberty Township, OH 45044-0008 | 2015-07-12 |
| 1306878863 | Medcentral Professional Association Inc. | Internal Medicine | 308 Glessner Ave, Mansfield, OH 44903-2225 | 2006-07-07 |
| 1629077961 | Gregory J Wood | Internal Medicine | 7200 Mentor Ave, Mentor, OH 44060-7522 | 2005-07-19 |
| 1508865213 | Joseph Michael Surmitis | Internal Medicine | 4082 Fulton Dr Nw, Canton, OH 44718-2866 | 2005-07-15 |
| 1851396428 | Puvi N Seshiah | Internal Medicine | 3219 Clifton Ave, Suite 400, Cincinnati, OH 45220-3027 | 2005-06-20 |
| 1669474839 | David G Bichsel | Internal Medicine | 745 W State St, Ste 750, Columbus, OH 43222-1515 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
Please comment or provide details below to improve the information on JOHN A 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.