STEFANIE J FRY (NPI# 1881649572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881649572 |
| Entity Type | Individual |
| Full Name | STEFANIE J FRY |
| Credential | MD |
| Practice Address |
300 E Jefferson St Suite 101 Boise ID 83712-6246 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2083221680 |
| Practice Fax Number | 2083221695 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M7787 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
300 E JEFFERSON ST SUITE 101 |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134199631 | Cherish L Smith | Physician Assistant | 300 E Jefferson St, Suite 300, Boise, ID 83712-6246 | 2006-01-25 |
| 1962958892 | Brittany Matthews | Nurse Practitioner | 300 E Jefferson St, #300, Boise, ID 83712-6246 | 2016-08-31 |
| 1013396266 | Emily Barnett | Social Worker | 300 E Jefferson St, Boise, ID 83712-6246 | 2015-05-20 |
| 1437583408 | Andrea L Bockenstette | Nurse Practitioner | 300 E Jefferson St, Ste 101, Boise, ID 83712-6246 | 2013-08-27 |
| 1639519853 | Sara M O'connor | Nurse Practitioner | 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 | 2013-07-02 |
| 1295027688 | Jodie L. Donovan | Internal Medicine | 300 E Jefferson St, Suite 300, Boise, ID 83712-6246 | 2011-05-04 |
| 1396071056 | Sorcha M Cusack | Physician Assistant | 300 E Jefferson St, Ste 300, Boise, ID 83712-6246 | 2009-10-29 |
| 1255574109 | Roger Thomas Turcotte Jr. | Internal Medicine | 300 E Jefferson St, Suite 201, Boise, ID 83712-6246 | 2009-04-08 |
| 1306006929 | Shannon R Vaughn | Nurse Practitioner | 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 | 2008-06-17 |
| 1396916417 | St. Luke's Regional Medical Center | Nurse Practitioner | 300 E Jefferson St, Suite 101, Boise, ID 83712-6246 | 2008-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497807812 | Grande Ronde Hospital, Inc | Internal Medicine | 300 E Jefferson St Ste 101, Boise, ID 83712-6221 | 2007-01-17 |
| 1730285719 | Beth R Malasky | Internal Medicine | 6140 Curtisian, Ste 200, Boise, ID 83704-0107 | 2006-09-16 |
| 1730192329 | Cardiovascular Consultants of Idaho | Internal Medicine | 1070 N Curtis Rd, Ste 125, Boise, ID 83706-1238 | 2006-08-14 |
| 1841234747 | Samual Bass | Internal Medicine | 300 E Jefferson, Ste 101, Boise, ID 83712 | 2006-06-15 |
| 1407814411 | Frederick R. Badke | Internal Medicine | 6140 Curtisian Ave, Suite 200, Boise, ID 83704-8880 | 2006-05-02 |
| 1447244819 | Eric B Stuart | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2005-08-31 |
| 1326045428 | Patrick Scott Coleman | Internal Medicine | 6140 W Curtisian Ave Ste 200, 6140 W Curtisian Ave Ste 200, Boise, ID 83704 | 2005-07-05 |
| 1114305091 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-12 |
| 1790162345 | University of Utah Adult Services | Internal Medicine | 6140 W Curtisian Ave Ste 200, Boise, ID 83704-0107 | 2015-05-04 |
| 1093040479 | Saint Alphonsus Specialty Services Inc | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704-0107 | 2009-10-02 |
| Find all providers in BOISE | ||||
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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.