Blair Frye (NPI# 1568933794, PAC ID# 2860726478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568933794 |
| PAC ID by PECOS | 2860726478 |
| Professional Enrollment ID | I20190701001540 |
| Full Name | Blair Frye |
| Organization Legal Name | SHORT PUMP FAMILY CARE LLC |
| Address |
4101 Dominion Blvd Glen Allen VA 23060-3457 |
| Phone Number | 8047475555 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618278516 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 4101 Dominion Blvd, Glen Allen, VA 23060-3457 | 8047475555 | SHORT PUMP FAMILY CARE LLC |
| 12731 Stone Village Way, Midlothian, VA 23113-2722 | 8043791500 | SHORT PUMP FAMILY CARE LLC |
| 2660 New Market Rd, Richmond, VA 23231-7408 | 8047951144 | CHICKAHOMINY FAMILY PRACTICE INC |
| Organization Legal Name | SHORT PUMP FAMILY CARE LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augustine U Nyeche | Nurse Practitioner | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Andrea L Hall | Family Medicine | Short Pump Family Care LLC | 12731 Stone Village Way, Midlothian, VA 23113-2722 |
| Russell A Johnson | Internal Medicine | Short Pump Family Care LLC | 12731 Stone Village Way, Midlothian, VA 23113-2722 |
| Jeffrey S Harrell | Physician Assistant | Short Pump Family Care LLC | 12731 Stone Village Way, Midlothian, VA 23113-2722 |
| Diane Lynn Alvarez | Nurse Practitioner | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Suzanne Paul | Nurse Practitioner | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Asia E Scaife | Physician Assistant | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Zelda West Johnson | Family Medicine | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Street Address |
4101 DOMINION BLVD |
| City | GLEN ALLEN |
| State | VA |
| Zip | 23060-3457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Augustine U Nyeche | Nurse Practitioner | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Diane Lynn Alvarez | Nurse Practitioner | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Suzanne Paul | Nurse Practitioner | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Asia E Scaife | Physician Assistant | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Zelda West Johnson | Family Medicine | Short Pump Family Care LLC | 4101 Dominion Blvd, Glen Allen, VA 23060-3457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Scott Melton | Optometry | 10208 Staples Mill Rd, Glen Allen, VA 23060-3064 | |
| Walter V Bogdan Jr. | Chiropractic | Ariya Family Chiropractic Center PC | 10168 W Broad St, Glen Allen, VA 23060-3303 |
| Averia Hilliard Brown | Chiropractic | Ariya Family Chiropractic Center PC | 10168 W Broad St, Glen Allen, VA 23060-3303 |
| Mason L Sheehan Ii | Chiropractic | Greenville Alliance LLC | 10216 W Broad St, Glen Allen, VA 23060-3305 |
| Scott A Vanwagner | Chiropractic | 10857 W Broad St, Glen Allen, VA 23060-3312 | |
| Megan Presby | Physical Therapy | Physical Therapy Solutions Limited Partnership | 4101 Cox Rd, Suite 100, Glen Allen, VA 23060-3320 |
| Wren M Blackwell | Physical Therapy | Physical Therapy Solutions Limited Partnership | 4101 Cox Rd, Suite 100, Glen Allen, VA 23060-3320 |
| Rebecca D Ward-grygalonis | Physical Therapy | Physical Therapy Solutions Limited Partnership | 4101 Cox Rd, Suite 100, Glen Allen, VA 23060-3320 |
| Kevin H Black | Physical Therapy | Physical Therapy Solutions Limited Partnership | 4101 Cox Rd, Suite 100, Glen Allen, VA 23060-3320 |
| Jessica Napoleon | Physical Therapy | Physical Therapy Solutions Limited Partnership | 4101 Cox Rd, Suite 100, Glen Allen, VA 23060-3320 |
| Find all physicians in zip 23060 | |||
| City | GLEN ALLEN |
| Zip Code | 23060 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GLEN ALLEN + PHYSICIAN ASSISTANT |
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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.