DR. WILLA FRY (NPI# 1013367960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013367960 |
| Entity Type | Individual |
| Full Name | DR. WILLA FRY |
| Credential | AU.D. |
| Practice Address |
1101 Johnson Ave Suite 204 Myrtle Beach SC 29577-1893 |
| Practice Telephone | 8434770177 |
| Mailing Telephone | 8434770177 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Street Address |
1101 JOHNSON AVE SUITE 204 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619969250 | Randall Paul Grove | Physician Assistant | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2005-08-19 |
| 1629617485 | Tarzaris Mack | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-12-27 |
| 1720633621 | Ethel Mae Santai | Physical Therapist | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-08-07 |
| 1912560095 | Stephen Francis Kovacs IIi | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2019-04-15 |
| 1831676857 | Stacey M Fontaine | Social Worker | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2018-07-23 |
| 1770077588 | Richard Mehlbrech | Physical Therapist | 1101 Johnson Ave, Myrtle Beach, SC 29577 | 2018-06-15 |
| 1114382264 | Paul Anama | Physical Therapist | 1101 Johnson Ave, Rm 138, Myrtle Beach, SC 29577-1893 | 2015-12-16 |
| 1518346097 | Jamie Wright | Social Worker | 1101 Johnson Ave, Suite 204, Myrtle Beach, SC 29577-1893 | 2015-05-29 |
| 1164810297 | Charleston Vamc | Clinic/Center | 1101 Johnson Ave, Suite R-2a, Myrtle Beach, SC 29577-1893 | 2014-12-23 |
| 1447653415 | Kimberly Patricia Cuddy | Psychologist | 1101 Johnson Ave, Myrtle Beach, SC 29577 | 2014-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366579930 | Teresa Jean Shumway | Audiologist | 3885 Renee Dr, Suite 102, Myrtle Beach, SC 29579-4372 | 2007-02-28 |
| 1891807939 | Hearing Health Care, P. A. | Audiologist | 5913 N Kings Hwy, Myrtle Beach, SC 29577-2329 | 2006-08-31 |
| 1477746568 | Pamela S. Benbow | Audiologist | 5913 N Kings Hwy, Myrtle Beach, SC 29577-2329 | 2007-08-22 |
| 1598841223 | Dana M Stephenson | Audiologist | 1101 Johnson Ave, Myrtle Beach, SC 29577-1893 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1376160465 | Nicole Ritter | Audiologist | 135 Rutledge Ave # 216, Charleston, SC 29425-8903 | 2020-07-06 |
| 1376197236 | Dakota Michael Sharp | Audiologist | 1705 College St Ste 220, Columbia, SC 29201-3917 | 2019-07-30 |
| 1003469156 | Hear Again LLC | Audiologist | 485 Chapin Rd Ste A, Chapin, SC 29036-8877 | 2019-07-18 |
| 1316411978 | Bbs Hearing Services LLC | Audiologist | 10239 Clemson Blvd Ste 170, Seneca, SC 29678-0862 | 2019-01-17 |
| 1700363769 | Jessica Lynn Mansur | Audiologist | 324 E Saint John St Ste B, Spartanburg, SC 29302-1505 | 2018-07-23 |
| 1942792031 | Hannah Louise Bannon | Audiologist | 4101 Main St Ste F, Hilton Head, SC 29926-4609 | 2018-06-04 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1427562289 | The Beaufort Sound | Audiologist | 206 Sea Island Pkwy Ste 31, Beaufort, SC 29907-1526 | 2017-11-30 |
| 1770094161 | Hear Again LLC | Audiologist | 1 Wellness Blvd Ste 108, Irmo, SC 29063-2872 | 2017-10-12 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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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.