JEANETTA W. FRYE (NPI# 1578767059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578767059 |
| Entity Type | Individual |
| Full Name | JEANETTA W. FRYE |
| Credential | M.D. |
| Practice Address |
375 Four Leaf Ln Ste 103 Charlottesville VA 22903-6905 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4342430700 |
| Practice Fax Number | 4342430680 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0101247952 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
375 FOUR LEAF LN STE 103 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104805274 | Rachel Hays | Internal Medicine | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2006-01-17 |
| 1366979817 | Nicole Jensen | Family Medicine | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2017-05-16 |
| 1558780817 | Bryan Christopher Thorne | Pediatrics | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22908-0816 | 2014-04-15 |
| 1780952747 | Teresa Wirth Babineau | Family Medicine | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2011-12-06 |
| 1053612382 | Abril Dawn Reck | Nurse Practitioner | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2010-11-03 |
| 1427222553 | Lisa Marie Hainstock | Pediatrics | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2008-04-18 |
| 1649492703 | Catherine F Casey | Family Medicine | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2007-05-02 |
| 1043230113 | Timothy E. Mclaughlin | Family Medicine | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2006-07-20 |
| 1437191467 | Cawood Fitzhugh | Nurse Practitioner | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1144363581 | Steven M. Powell | Internal Medicine | 1215 L Ee St Lee Street, Charlottesville, VA 22908-0001 | 2007-02-15 |
| 1104806819 | Cynthia M. Yoshida | Internal Medicine | 500 Monroe Ln, Charlottesville, VA 22903-3318 | 2006-01-19 |
| 1104805274 | Rachel Hays | Internal Medicine | 375 Four Leaf Ln Ste 103, Charlottesville, VA 22903-6905 | 2006-01-17 |
| 1841843448 | Amir Rumman | Internal Medicine | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-07-23 |
| 1114345246 | Esteban Figueroa | Internal Medicine | 1215 Lee St, Charlottesville, VA 22908-2204 | 2014-04-05 |
| 1639512346 | Dennis Kumral | Internal Medicine | 1215 Lee St, Charlottesville, VA 22908 | 2013-04-11 |
| 1770926974 | Ross C. Buerlein | Internal Medicine | 1215 Lee St, Charlottesville, VA 22908-2243 | 2013-04-08 |
| 1538425087 | Michael B Mccabe | Internal Medicine | 1215 Lee St, Charlottesville, VA 22908 | 2012-04-10 |
| 1043536717 | Matthew Jonathon Stotts | Internal Medicine | 1215 Lee St, Charlottesville, VA 22908-0816 | 2010-04-20 |
| 1992964704 | Alan A Brijbassie | Internal Medicine | 500 Martha Jefferson Dr, 5th Floor, Charlottesville, VA 22911-4668 | 2008-06-06 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on JEANETTA W. FRYE.
| 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.