DR. PAUL J FRY III (NPI# 1255322640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255322640 |
| Entity Type | Individual |
| Full Name | DR. PAUL J FRY III |
| Credential | M.D. |
| Practice Address |
1520 Virginia Ranch Rd Suite 101b Gardnerville NV 89410-5731 |
| Mailing Address |
973 Mica Dr Suite 201 Carson City NV 89705-7255 |
| Practice Telephone | 7757822442 |
| Practice Fax Number | 7757827205 |
| Mailing Telephone | 7757836190 |
| Mailing Fax Number | 7757836191 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 6420 | NV | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | G54590 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00G545900 | 01 |
| NV | BCBS | CC6619 | 01 |
| CA | MEDICARE RAILROAD | 200034256 | 01 |
| NV | 002003052 | 05 | |
| NV | MEDICARE RAILROAD | P00343660 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961061 | Paul David Fry | Physician Assistant | 1225 N H St, Lompoc, CA 93436 | 2006-04-14 |
| 1144203134 | Paul Jeffrey Fry | Radiology | 2006 Franklin St Se, Suite 200, Huntsville, AL 35801-4551 | 2005-11-22 |
| Street Address |
1520 VIRGINIA RANCH RD SUITE 101B |
| City | GARDNERVILLE |
| State | NV |
| Zip Code | 89410-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397459 | Evan Wayne Easley | Internal Medicine | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2005-06-28 |
| 1790160448 | Ronna Alcartado | Nurse Practitioner | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2015-07-23 |
| 1154755817 | Jean M Held | Licensed Practical Nurse | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2013-08-29 |
| 1023368883 | Tahoe Fracture and Orthopedic Medical Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 | 2012-09-19 |
| 1174708879 | Carson Valley Medical Center Rural Health Clinic | Internal Medicine | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2008-01-01 |
| 1649340738 | Kara Lea Cole | Registered Nurse | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2006-11-08 |
| 1235217944 | Glenn R. Thorp | Internal Medicine | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2006-11-01 |
| 1124019591 | Edward M Tapper | Orthopaedic Surgery | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 | 2005-11-03 |
| 1346246949 | Judith Esther Rosso | Family Medicine | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2005-06-28 |
| 1578569174 | Garrett Donald Schwartz | Internal Medicine | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750931127 | Hayes Robert Wilson | Physician Assistant | 1107 Highway 395 North, Gardnerville, NV 89410 | 2019-09-17 |
| 1609361088 | Douglas County and Unincorporated Towns | Substance Abuse Rehabilitation Facility | China Spring Youth Camp Adapt, 225 China Spring Road, Gardnerville, NV 89410 | 2018-06-27 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1245787308 | Debra M Robison | Pharmacist | 1363 Hwy 395 North, Raley's #109 Pharmacy, Gardnerville, NV 89410 | 2016-09-07 |
| 1346573268 | Cynthia Suzanne Tarantino-fernandez | Social Worker | 1296 Bray Way, Gardnerville, NV 89410 | 2009-09-10 |
| 1750531398 | Paul Williams Phillips Jr. | Orthopaedic Surgery | 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 | 2008-09-19 |
| 1033316054 | Barbara Ellen Gould | Physical Therapist | 1107 Highway 395 South, Gardnerville, NV 89410 | 2007-07-02 |
| 1992916019 | Diane G. Oliver, Md | Pathology | 1107 Highway 395 S, Department of Pathology, Gardnerville, NV 89410 | 2007-05-24 |
| 1346460656 | Ricky Shigeru Miyashiro | Physical Therapist | 1107 Hwy 395 S, Gardnerville, NV 89410 | 2007-04-27 |
| 1467679217 | Stuart Sumner Drange | Dentist | 1480 Main Street, Hwy 395, Gardnerville, NV 89410 | 2007-04-20 |
| Find all providers in zip 89410 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750531398 | Paul Williams Phillips Jr. | Orthopaedic Surgery | 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 | 2008-09-19 |
| 1588608913 | Roger Rogalski Md Chtd | Orthopaedic Surgery | 1516 Virginia Ranch Rd, Bldg. A, Suite 101, Gardnerville, NV 89410-5730 | 2006-06-15 |
| 1134176274 | Scott Wilson Southard | Orthopaedic Surgery | 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 | 2006-05-27 |
| 1811136161 | Scott W Southard Md Inc | Orthopaedic Surgery | 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 | 2009-02-10 |
| 1124019591 | Edward M Tapper | Orthopaedic Surgery | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750942546 | Orthopaedics Sports & Workers Medical Group Inc | Orthopaedic Surgery | 804 Mill St, Reno, NV 89502-1421 | 2019-06-24 |
| 1972012292 | James Pappas Md Rural Nevada, Ltd. | Orthopaedic Surgery | 2213 N 5th St Ste B, Elko, NV 89801-2471 | 2017-09-29 |
| 1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
| 1457774010 | Laurence R Mcclish Md Pllc | Orthopaedic Surgery | 1885 S Arlington Ave Ste 108, Reno, NV 89509-3370 | 2014-01-31 |
| 1396087623 | Carl Bradley Wallis | Orthopaedic Surgery | 10561 Jeffreys St Ste 230, Henderson, NV 89052-4268 | 2013-03-25 |
| 1578804787 | Bruce Mcneil Ballard | Orthopaedic Surgery | 2716 Port of Call Dr, Las Vegas, NV 89128-7151 | 2013-03-13 |
| 1124339676 | Mark Allen | Orthopaedic Surgery | 1505 Wigwam Pkwy Ste 330, Henderson, NV 89074 | 2010-06-30 |
| 1003146952 | Rowlin Lobert Lichter | Orthopaedic Surgery | 14285 Domingo Ct, Reno, NV 89511-6617 | 2009-12-28 |
| 1366604290 | Daniel T Kokmeyer | Orthopaedic Surgery | 9321 W. Sunset Rd., Las Vegas, NV 89148 | 2008-07-01 |
| 1619155447 | Pinion Orthopedics Gunnell Do Chartered | Orthopaedic Surgery | 1775 Browning Way Ste 201, Elko, NV 89801-8340 | 2008-02-04 |
| Find all providers with the same taxonomy | ||||
| City | GARDNERVILLE |
| Zip Code | 89410 |
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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.