Stephen W Fry (NPI# 1750382982, PAC ID# 0941272215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
Nation Provider ID (NPI) | 1750382982 |
PAC ID by PECOS | 0941272215 |
Professional Enrollment ID | I20040807000133 |
Full Name | Stephen W Fry |
Organization Legal Name | TRI-CITIES GASTROENTEROLOGY LLC |
Address |
105 Gay St Erwin TN 37650-1227 |
Phone Number | 4232791400 |
Gender | M |
Credential | MD |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1987 |
Primary Specialty | GASTROENTEROLOGY |
Group Practice PAC ID | 1658354865 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440176 | INDIAN PATH MEDICAL CENTER |
440063 | JOHNSON CITY MEDICAL CENTER |
440050 | TAKOMA REGIONAL HOSPITAL |
440184 | FRANKLIN WOODS COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
105 Gay St, Erwin, TN 37650-1227 | 4232791400 | TRI-CITIES GASTROENTEROLOGY LLC |
10461 Wallace Alley St, Kingsport, TN 37663-3936 | 4232791400 | TRI-CITIES GASTROENTEROLOGY LLC |
Organization Legal Name | TRI-CITIES GASTROENTEROLOGY LLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley Laine Anderson | Nurse Practitioner | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
Jeffrey P Fenyves | Gastroenterology | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
Genesia D Irick | Nurse Practitioner | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
James Wesley Denham | Pathology | Tri-cities Gastroenterology LLC | 10461 Wallace Alley St, Kingsport, TN 37663-3936 |
Street Address |
105 GAY ST |
City | ERWIN |
State | TN |
Zip | 37650-1227 |
Name | Specialty | Organization | Address |
---|---|---|---|
Victoria L Osborne | Nurse Practitioner | Unicoi Medical Associates | 105 Gay St, Erwin, TN 37650-1227 |
Jason A Colinger | Family Medicine | Unicoi Medical Associates | 105 Gay St, Erwin, TN 37650-1227 |
Wanda S Shelton | Nurse Practitioner | Unicoi Medical Associates | 105 Gay St, Erwin, TN 37650-1227 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary B Byrd | Nurse Practitioner | 108 Gay St, Erwin, TN 37650-1228 | |
Cynthia A Kelly | Clinical Social Worker | 204 Gay St, Erwin, TN 37650-1230 | |
Shanna B Peterson | Nurse Practitioner | 627 N Main Ave, Erwin, TN 37650-1319 | |
Randal J Rabon Ii | Optometry | Erwin Eye Care Pllc | 510 N Main Ave, Suite 2, Erwin, TN 37650-1393 |
Daniel Miller | Optometry | Erwin Eye Care Pllc | 510 N Main Ave, Suite 2, Erwin, TN 37650-1393 |
Joe Chambers | Optometry | 510 N Main Ave, Erwin, TN 37650-1393 | |
Kenneth S Calain | Chiropractic | 1001 N Main Ave, Erwin, TN 37650-1576 | |
Charles G Miller | Internal Medicine | 500 Love St, Erwin, TN 37650-2124 | |
Robert L Stewart | Anesthesiology | Vigilance Anesthesia Solutions, P.C. | 100 Greenway Cir, Erwin, TN 37650-2177 |
Gordon W Moughon | Internal Medicine | 630 Oneega Ln, Suite B, Erwin, TN 37650-2199 | |
Find all physicians in zip 37650 |
City | ERWIN |
Zip Code | 37650 |
Specialty | GASTROENTEROLOGY |
City + Specialty | ERWIN + GASTROENTEROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.