Jack Robert Fry, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN161169 Issued in OH

Practice address

7333 Smiths Mill Rd
New Albany, OH 43054-9291

Phone

(614) 775-6675

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center Anesthesia Services LLCGroup PAC ID 6406373935, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJGGCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Center Anesthesia Services, LLC

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1760292858
  Medicare reassignment Care Compare group NPD
• Ophthalmic Anesthesia Associates Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1023069515
  Medicare reassignment NPD
• New Albany Orthopedic Anesthesia LLC

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1093762635
  Medicare reassignment
• Associated Anesthesiologists of Toledo, Inc

  • Specialist
  • Toledo, OH
  • NPI 1871544312
  NPD (past)
• Pain Zero, LLC

  • Interventional Pain Medicine Physician
  • New Albany, OH
  • NPI 1912652603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023032141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 NEIL AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013434",
            "telephone_number": "614-299-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 SMITHS MILL RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549291",
            "telephone_number": "614-775-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "JACK",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN161169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044719",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Fothergill, D.C.
• Kelsey Fox, P.T., D.P.T.
• Fractel, Inc
• Zachary Frailey, CAA
• Jordan Freels
• Fusiondrip Hydration & Wellness LLC
• Rachel Beth Gabelman, PHD
• Wenshi 07 Gao, MD
• Lynette L Garcia, RN
• Joshua Gardner, PT, DPT

• Certified Registered Nurse Anesthetist in New Albany, OH
• Providers in New Albany, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.