FRYECARE VALDESE, LLC (NPI# 1639558034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639558034 |
| Entity Type | Organization |
| Organization Name | FRYECARE VALDESE, LLC |
| Other Organization Name | FRYECARE INTERNAL MEDICINE - HICKORY |
| Practice Address |
915 Tate Blvd Se Ste 186 Hickory NC 28602-4042 |
| Mailing Address |
Po Box 743547 Atlanta GA 30374-3547 |
| Practice Telephone | 8284498458 |
| Practice Fax Number | 8283238348 |
| Mailing Telephone | 8284498458 |
| Mailing Fax Number | 8283238348 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-06-07 |
| Authorized Official Name | MR. MICHAEL KYLE BURTNETT (SVP, OUTPATIENT SERVICES, TENET) |
| Authorized Official Telephone | 4698932902 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FryeCare Internal Medicine - Hickory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568859387 | Fryecare Valdese, LLC | Internal Medicine | 500 E Parker Rd, Ste 1, Morganton, NC 28655-5113 | 2015-04-20 |
| Street Address |
915 TATE BLVD SE STE 186 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053318246 | Mary J. Britton | Family Medicine | 915 Tate Blvd Se Ste 186, Hickory, NC 28602-4042 | 2005-07-01 |
| 1760540306 | Joan Diane Brugman | Psychologist | 915 Tate Blvd Se Ste 186, Hickory, NC 28602-4042 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1649623703 | Springs Road Consulting LLC | Internal Medicine | 116 3rd St Nw Rm B, Hickory, NC 28601-6137 | 2016-07-13 |
| 1407031420 | David Ismael Cabral | Internal Medicine | 30 13th Ave Nw, Hickory, NC 28601-3765 | 2008-01-09 |
| 1689897241 | Premier Internal Medicine PC | Internal Medicine | 50 Cloninger Mill Rd Ne, Hickory, NC 28601-7526 | 2007-04-11 |
| 1639200025 | Karol Annetta Richards | Internal Medicine | 915 Tate Blvd Se Ste 182, Hickory, NC 28602-4042 | 2007-03-08 |
| 1003956079 | Bowen Primary & Urgent Care Pa | Internal Medicine | 116 3rd St Nw, Hickory, NC 28601-6137 | 2007-02-07 |
| 1780741256 | Swisher Internal Medicine, Pllc | Internal Medicine | 30 13th Ave, Hickory, NC 28601-3013 | 2007-01-03 |
| 1962578039 | George Elliott Ennis | Internal Medicine | 1805 2nd St Nw, Hickory, NC 28601-1806 | 2006-11-28 |
| 1922189927 | James Thomas Barker II | Internal Medicine | 24 2nd Ave Ne Ste 201, Hickory, NC 28601-5045 | 2006-10-17 |
| 1619084407 | Michael Drewno | Internal Medicine | 133 37th Avenue Pl Nw, Hickory, NC 28601-8072 | 2006-08-25 |
| 1467469189 | Richard Allen Dickey | Internal Medicine | 51 Players Ridge Rd, Hickory, NC 28601-8839 | 2006-08-02 |
| Find all providers in HICKORY | ||||
Please comment or provide details below to improve the information on FRYECARE VALDESE, LLC.
| 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.