Kenneth B Fryer
CENTRAL COAST ORTHOPEDIC MEDICAL GROUP


Address: 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Phone: 8055414600

Kenneth B Fryer (NPI# 1962576959, PAC ID# 8325097421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1962576959
PAC ID by PECOS 8325097421
Professional Enrollment ID I20100429000823
Full Name Kenneth B Fryer
Organization Legal Name CENTRAL COAST ORTHOPEDIC MEDICAL GROUP
Address 862 Meinecke Ave
Suite 100
San Luis Obispo
CA 93405-3701
Phone Number 8055414600
Gender M
Medical School NEW YORK MEDICAL COLLEGE
Graduation Year 1970
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 8426945916
Number of Group Practice Members 14
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050107 MARIAN REGIONAL MEDICAL CENTER
050232 FRENCH HOSPITAL MEDICAL CENTER
050506 SIERRA VISTA REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701 8055414600 CENTRAL COAST ORTHOPEDIC MEDICAL GROUP

Organization Information

Organization Legal Name CENTRAL COAST ORTHOPEDIC MEDICAL GROUP
Physicians 13

Physicians with the same organization

Name Specialty Organization Address
Nicholas Manes Caggiano Hand Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Jeffrey E Spoo Orthopedic Surgery Central Coast Orthopedic Medical Group 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690
Sean D Devine Orthopedic Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Michael T Laird Orthopedic Surgery Central Coast Orthopedic Medical Group 921 Oak Park Blvd, Suite 204, Pismo Beach, CA 93449-3400
Stacy Dawn Mierau Physician Assistant Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Paul H Castello Orthopedic Surgery Central Coast Orthopedic Medical Group 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690
Adam A Schraub Physician Assistant Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Otto J Schueckler Orthopedic Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Daniel W Woods Orthopedic Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Dennis C Blackburn Orthopedic Surgery Central Coast Orthopedic Medical Group 2342 Professional Pkwy, Suite 200, Santa Maria, CA 93455-1690

Office Location

Street Address 862 MEINECKE AVE
SUITE 100
City SAN LUIS OBISPO
State CA
Zip 93405-3701

Physicians in the same location

Name Specialty Organization Address
Nicholas Manes Caggiano Hand Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Sean D Devine Orthopedic Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Stacy Dawn Mierau Physician Assistant Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Adam A Schraub Physician Assistant Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Otto J Schueckler Orthopedic Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Daniel W Woods Orthopedic Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Dimitri Emmanuel Delagrammaticas Orthopedic Surgery Central Coast Orthopedic Medical Group 862 Meinecke Ave, Suite 100, San Luis Obispo, CA 93405-3701
Charles E St Vincent Physical Therapy Sport, Spine and Orthopedic 862 Meinecke Ave, Suite 101, San Luis Obispo, CA 93405-3702

Physicians in the same zip code

Name Specialty Organization Address
William F D Ambruoso Internal Medicine 179 Twin Ridge Rd, San Luis Obispo, CA 93405
Amanda Michelle Parreira Optometry 894 Meinecke Ave A, San Luis Obispo, CA 93405-1790
Tyrone G Mcsorley Physical Therapy 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791
Julie L Mcsorley Physical Therapy 894 Meinecke Ave, Suite B, San Luis Obispo, CA 93405-1791
Harold D Segal Neurosurgery 140 Casa St, San Luis Obispo, CA 93405-1804
Gayle S Cekada Internal Medicine 184 Casa St, San Luis Obispo, CA 93405-1804
Stephen A Hilty Internal Medicine 148 Casa St, San Luis Obispo, CA 93405-1804
Eric W Dunlop General Practice 148 Casa St, San Luis Obispo, CA 93405-1804
Ginger Christianne Cochran Registered Dietitian Or Nutrition Professional 148 Casa St, San Luis Obispo, CA 93405-1804
Kristina N Dilworth Nurse Practitioner First Choice Physician Partners 1064 Murray Ave, San Luis Obispo, CA 93405-1806
Find all physicians in zip 93405

Competitor

Search similar physicians

City SAN LUIS OBISPO
Zip Code 93405
Specialty ORTHOPEDIC SURGERY
City + Specialty SAN LUIS OBISPO + ORTHOPEDIC SURGERY

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Dataset Information

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.

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