FRIES FAMILY CARE CENTER PC (NPI# 1851334197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851334197 |
| Entity Type | Organization |
| Organization Name | FRIES FAMILY CARE CENTER PC |
| Practice Address |
109 Carrol Dr Fries VA 24330-4532 |
| Mailing Address |
Po Box 453 Fries VA 24330-0453 |
| Practice Telephone | 2767443660 |
| Practice Fax Number | 2767443843 |
| Mailing Telephone | 2767443660 |
| Mailing Fax Number | 2767443843 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | SHERRIE WILLIAMS (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2767443660 |
| Authorized Official Credential | RN, CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRAILBLAZER MEDICARE | C09443 | 01 |
| VA | 010238692 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295851145 | Fries Family Care Center PC | Clinic/Center | 109 Carrol Dr, Fries, VA 24330-4532 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Fries Family Care Center PC | 217 S Independence Avenue, Independence, Virginia 24348 |
| Street Address |
109 CARROL DR |
| City | FRIES |
| State | VA |
| Zip Code | 24330-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811271901 | Fries Community Health Care Inc | Clinic/Center | 109 Carrol Dr, Fries, VA 24330-4532 | 2011-10-06 |
| 1295851145 | Fries Family Care Center PC | Clinic/Center | 109 Carrol Dr, Fries, VA 24330-4532 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487295861 | Dawn Bullins | Occupational Therapy Assistant | 114 East Main St, Fries, VA 24330 | 2019-10-07 |
| 1801079306 | Kelly S Vandyke | Internal Medicine | 109 Carroll Drive, Fries, VA 24330 | 2007-12-07 |
| 1649812827 | Roxanne Leigh Gravley | Physical Therapy Assistant | 114 E Main St, Fries, VA 24330 | 2019-10-09 |
| 1518450022 | Rowllins Mental Health and Wellness Center LLC | Clinic/Center | 705 E Main St, Fries, VA 24330 | 2018-06-08 |
| 1265526883 | Lifeguard,personal Emergency Response Systems, LLC | Durable Medical Equipment & Medical Supplies | 1051 Lonesome Oak Road, Fries, VA 24330-0000 | 2006-10-03 |
| 1942261847 | Fries Volunteer Fire Department Inc | Ambulance | 832 East Main Street, Fries, VA 24330-0009 | 2006-03-30 |
| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1710260476 | Fries Community Health Care Inc | Family Medicine | 109 Carroll Drive, Fries, VA 24330-4532 | 2011-09-20 |
| 1417292731 | Family Preservation Services, Inc | Community/Behavioral Health | 76 Gilley Dr, Fries, VA 24330-4571 | 2012-11-28 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710260476 | Fries Community Health Care Inc | Family Medicine | 109 Carroll Drive, Fries, VA 24330-4532 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
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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.