Fryecare Specialty Center LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

FRYECARE SPECIALTY CENTER LLC

Doing business as

Fryecare Vascular Services

Practice address

415 N Center St
Suite 203
Hickory, NC 28601-5057

Phone

(828) 322-2005

Fax

(828) 322-2159

NPI assigned

May 29, 2014

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kyle Burtnett

Title

SVP of Outpatient Services, Tenet

Phone

(469) 893-2153

Specialties & licenses 1

Addresses

Other names 1

• Fryecare Vascular Services Doing business as

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1174935860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743021",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743021",
            "telephone_number": "828-322-2005",
            "fax_number": "828-322-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "SUITE 203",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015057",
            "telephone_number": "828-322-2005",
            "fax_number": "828-322-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYECARE SPECIALTY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fryecare Vascular Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fryecare Valdese, LLC (FryeCare Internal Medicine - Hickory)
• Fryecare Women's Services, LLC
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• Abagail Fuhrman
• Abigail Paige Fulk

• Vascular Surgery Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Vascular Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.