DR. DAVID GORDON FRYE (NPI# 1891784542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891784542 |
| Entity Type | Individual |
| Full Name | DR. DAVID GORDON FRYE |
| Credential | D.O. |
| Practice Address |
4300 Cascade Rd Se Suite 103 Grand Rapids MI 49546-3631 |
| Practice Telephone | 6162437900 |
| Practice Fax Number | 6162438299 |
| Mailing Telephone | 6162437900 |
| Mailing Fax Number | 6162438299 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | DF007503 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE NUMBER | DF007503 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 2054106025 | 01 |
| MI | 2747523 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073926127 | David Frye | Pharmacist | 12305 Missile Ln, Florissant, MO 63033-4901 | 2014-06-06 |
| 1417990623 | David Wayne Frye | Pharmacist | 1661 Lee Street, Rogersville, AL 35652 | 2006-06-14 |
| 1982259511 | David Frye | Counselor | 359 Fenn St, Pittsfield, MA 01201-5261 | 2019-08-09 |
| 1962918391 | David Frye | Community Health Worker | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2017-12-21 |
| 1265847297 | David B Frye | Social Worker | 1151 Walker Rd, Dover, DE 19904-6600 | 2014-06-28 |
| 1750441770 | David A Frye | Radiology | 6567 E Carondelet Dr, Ste. # 185, Tucson, AZ 85710-6152 | 2006-12-11 |
| Street Address |
4300 CASCADE RD SE SUITE 103 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871597419 | Keith Thomas Crocker | Orthopaedic Surgery | 4300 Cascade Rd Se, Ste 103, Grand Rapids, MI 49546-3631 | 2005-06-10 |
| 1538633615 | Sarah R Lutz | Nurse Practitioner | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2019-01-11 |
| 1972007771 | Kayle Ann Lavictoire | Rehabilitation Hospital | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2018-03-19 |
| 1750884136 | Ashley Danielle Mckee | Physical Medicine & Rehabilitation | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2018-03-13 |
| 1336523158 | Elizabeth Wilson | Nurse Practitioner | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2015-07-10 |
| 1083020036 | Anusha Kumbam | Internal Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546 | 2014-07-09 |
| 1619269222 | Brian Joseph Hinkley | Family Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2011-05-15 |
| 1639353071 | K. Thomas Crocker, D.o., P.C. | Orthopaedic Surgery | 4300 Cascade Rd Se, Suite 103, Grand Rapids, MI 49546-3631 | 2007-12-20 |
| 1386827137 | David G Frye PC | Orthopaedic Surgery | 4300 Cascade Rd Se, Suite 103, Grand Rapids, MI 49546-3631 | 2007-12-14 |
| 1023125473 | Jennifer Anne Cory | Internal Medicine | 4300 Cascade Rd Se, Grand Rapids, MI 49546-8328 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| 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 |
|---|---|---|---|---|
| 1053773507 | Charles Trevor Crellin | Orthopaedic Surgery | 221 Michigan St Ne Fl 4, Grand Rapids, MI 49503-2543 | 2016-03-23 |
| 1366799124 | Marci Anne Bartholomew | Orthopaedic Surgery | 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 | 2012-08-11 |
| 1568723484 | Gable Bert Moffitt | Orthopaedic Surgery | 221 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2543 | 2012-06-07 |
| 1114287893 | Larry W Fitzsimmons | Orthopaedic Surgery | 7660 Pine Park Dr Se, Grand Rapids, MI 49546-9130 | 2012-05-29 |
| 1073809935 | Katherine J Sage | Orthopaedic Surgery | 1195 Wilson Ave Nw Ste 200, Grand Rapids, MI 49534-6405 | 2011-06-20 |
| 1831418151 | Rohan Ashok Habbu | Orthopaedic Surgery | 1422 Dewberry Pl Ne, Apt 16, Grand Rapids, MI 49505-6918 | 2010-05-26 |
| 1750543674 | Mary A Herzog | Orthopaedic Surgery | 300 Lafayette Ave Se # 3400, Grand Rapids, MI 49503-4600 | 2008-07-01 |
| 1184883605 | Melissa Marie Peters | Orthopaedic Surgery | 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503-2565 | 2008-06-09 |
| 1871782136 | Casey R Bartman Md PC | Orthopaedic Surgery | 751 Kenmoor Ave, Grand Rapids, MI 49546 | 2007-10-23 |
| 1871629857 | Thomas G Schwaderer | Orthopaedic Surgery | 2558 Alger Se, Grand Rapids, MI 49546-5602 | 2007-02-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. DAVID GORDON 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.