MR. THOMAS GASTON FRYE IV (NPI# 1598138257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598138257 |
| Entity Type | Individual |
| Full Name | MR. THOMAS GASTON FRYE IV |
| Credential | CADC II |
| Practice Address |
1651 Centennial Blvd Springfield OR 97477-3363 |
| Mailing Address |
687 Cheshire Ave Eugene OR 97402-5060 |
| Practice Telephone | 5417624532 |
| Practice Fax Number | 5417262467 |
| Mailing Telephone | (541) 762-4532 |
| Mailing Fax Number | 5417262467 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2017-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16-R-09 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | ADDICITION COUNSELING BOARD OF OREGON | 16-R-09 | 01 |
| MO | CERTIFIED RECIPROCAL ALCOHOL AND DRUG COUNSELOR | 5863 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023449626 | Thomas Frye | Physical Therapist | 44028 Sr 78, Woodsfield, OH 43793 | 2013-12-06 |
| 1144568783 | Thomas R Frye | Radiology | 1427 Roxbury Rd, F, Columbus, OH 43212-3287 | 2013-01-16 |
| 1801011382 | Thomas J. Frye | Optometrist | 2240 Gallatin Pike N, Madison, TN 37115-2006 | 2007-04-17 |
| 1366506123 | Thomas Michael Frye | Dentist | 807 E Wells St, Prairie Du Chien, WI 53821-2300 | 2006-12-19 |
| 1386741197 | Thomas Frederick Frye | Psychologist | 448 White Mountain Highway, Tamworth, NH 03851 | 2006-09-20 |
| 1891011722 | Thomas Kevin Frye | Pharmacist | 23355 5th Ave, Florala, AL 36442-3818 | 2010-04-16 |
| 1871721969 | Thomas Frye | Urology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2009-06-26 |
| Street Address |
1651 CENTENNIAL BLVD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477666253 | Sharon Eileen Watters | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2006-08-16 |
| 1699320325 | Charles Michael Bloom, Jr. | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2019-08-08 |
| 1790337541 | Christopher Doremus | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2019-07-11 |
| 1346806213 | Heather Thorn | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2019-05-15 |
| 1467926634 | Naomi Suzanne Decelles | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2019-01-21 |
| 1407328198 | Eva Julia Williams | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2018-12-19 |
| 1003383407 | Sara Jane Renee Salcido | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2018-10-24 |
| 1376056333 | Tessa Diane Brahm | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2017-11-13 |
| 1972016228 | Cheyenne Lee Depew | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2017-11-08 |
| 1396256277 | Kyle Robert Dickey | Counselor | 1651 Centennial Blvd, Springfield, OR 97477-3363 | 2017-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803990 | Stephanie R Stephens | Counselor | 1705 Maiden Ln, Springfield, OH 45504-2908 | 2020-02-14 |
| 1801449988 | Maurice Steven Martinez | Counselor | 7215 Adrienne Glen Ave, Springfield, VA 22152-3540 | 2019-07-18 |
| 1215494737 | John Henry Mccollum Jr. | Counselor | 80 Congress St Ste 101, Springfield, MA 01104-3427 | 2019-02-21 |
| 1821584541 | Patricia Thakur | Counselor | 404 E Battlefield St # R, Springfield, MO 65807-4802 | 2018-07-05 |
| 1336632074 | Solutions Group Nw LLC | Counselor | 3831 Main St Ste 108, Springfield, OR 97478-5801 | 2018-06-07 |
| 1285126235 | Rebecca Ann Dalton | Counselor | 3032 S Fremont Ave Ste C200, Springfield, MO 65804-4210 | 2018-06-05 |
| 1184136905 | Mark Jones | Counselor | 120 N Fountain Ave, Springfield, OH 45502-1163 | 2017-11-02 |
| 1457863599 | Michael A Carter | Counselor | 832 Olive St, Springfield, OH 45503-3738 | 2017-10-30 |
| 1710498001 | Springfield Treatment Center | Counselor | 1485 Market St, Springfield, OR 97477-3337 | 2017-10-13 |
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on MR. THOMAS GASTON FRYE IV.
| 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.