Carl Fry (NPI# 1265796049, PAC ID# 6406161108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265796049 |
| PAC ID by PECOS | 6406161108 |
| Professional Enrollment ID | I20150810001907 |
| Full Name | Carl Fry |
| Organization Legal Name | OHIO PHYSICIAN PROFESSIONAL CORPORATION |
| Address |
1020 Trump Rd Nw Dba Family Medicine of Carrollton A Member of Au Carrollton OH 44615-8422 |
| Phone Number | 3306270884 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2668406059 |
| Number of Group Practice Members | 149 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 360070 | MERCY MEDICAL CENTER |
| 360010 | UNION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1020 Trump Rd Nw, Dba Family Medicine of Carrollton A Member of Au, Carrollton, OH 44615-8422 | 3306270884 | OHIO PHYSICIAN PROFESSIONAL CORPORATION |
| Organization Legal Name | OHIO PHYSICIAN PROFESSIONAL CORPORATION |
| Physicians | 144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Adrian Lopez | Plastic and Reconstructive Surgery | Ohio Physician Professional Corporation | 4665 Douglas Circle Nw, Suite 103, Canton, OH 44718-3673 |
| Jillian Marie Berkshire | Nurse Practitioner | Ohio Physician Professional Corporation | 1020 Trump Rd Nw, Dba Family Medicine of Carrollton A Member of Au, Carrollton, OH 44615-8422 |
| Rachel E Starr | Nurse Practitioner | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Kalpana N Raghunathan | Endocrinology | Ohio Physician Professional Corporation | 2600 W Tuscarawas St, 440 Dba Internal Medicine Center Dr. Jones, Canton, OH 44708-4698 |
| Robert P Brophy | Family Medicine | Ohio Physician Professional Corporation | 8320 Waynesburg Dr Se, Dba Aultman Waynesburg, Waynesburg, OH 44688-9502 |
| Mark Douglas Snavely | Psychiatry | Ohio Physician Professional Corporation | 15550 Durstine Rd, Dundee, OH 44624-9428 |
| Todd L Johnson | Cardiovascular Disease (cardiology) | Ohio Physician Professional Corporation | 2600 6th St Sw, Suite A2 710, Canton, OH 44710-1702 |
| Brendan Duffy | Interventional Cardiology | Ohio Physician Professional Corporation | 1020 Trump Nwrd, Carrollton, OH 44615-8422 |
| John Tsai | Cardiovascular Disease (cardiology) | Ohio Physician Professional Corporation | 2600 6th St Sw, Suite A2 710, Canton, OH 44710-1702 |
| David A Beard | Hospitalist | Ohio Physician Professional Corporation | 2600 6th Swst, Canton, OH 44710-1702 |
| Street Address |
1020 TRUMP RD NW DBA FAMILY MEDICINE OF CARROLLTON A MEMBER OF AU |
| City | CARROLLTON |
| State | OH |
| Zip | 44615-8422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jillian Marie Berkshire | Nurse Practitioner | Ohio Physician Professional Corporation | 1020 Trump Rd Nw, Dba Family Medicine of Carrollton A Member of Au, Carrollton, OH 44615-8422 |
| Pamela S Mckee | Nurse Practitioner | Ohio Physician Professional Corporation | 1020 Trump Rd Nw, Dba Family Medicine of Carrollton A Member of Au, Carrollton, OH 44615-8422 |
| Kelsey Krueger | Qualified Audiologist | Aultman North Canton Medical Group | 1020 Trump Rd Nw, Carrollton, OH 44615-8422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle R Wiseman | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Gary Wayne Clark | Family Medicine | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Kimberly Rowe | Nurse Practitioner | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Chelsea Delynn Prince | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Thomas H Naumoff | Family Medicine | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Norman Warren | Family Medicine | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Theresa Ann Waseity | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Michael Charles Valentino | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Leonard Frabcis Dyko | Physician Assistant | Mercy Medical Center, Inc. | 125 Canton Rd Nw, Carrolton Health Ctr, Carrolton, OH 44615-1000 |
| Kristen E Keyser | Nurse Practitioner | Mercy Professional Care Corp | 125 Canton Rd Nw, Suite A, Carrollton, OH 44615-1009 |
| Find all physicians in zip 44615 | |||
| City | CARROLLTON |
| Zip Code | 44615 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CARROLLTON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.