Individual provider Active NPI

Ira Stanley Frye, MD

  • Obstetrics & Gynecology Physician
  • Owosso, MI
National Provider Identifier
1184846354
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301088664 Issued in MI
Practice address
818 W King St Ste LL
Owosso, MI 48867-2116
Phone
(989) 729-4292
Fax
(989) 725-9012
NPI assigned
May 3, 2007
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 4301088664 MI
Obstetrics & Gynecology Physician 207V00000X 4301088664 MI Primary

Addresses

Primary practice location

818 W King St Ste LL
Owosso, MI 48867-2116

Mailing address

818 W King St Ste LL
Owosso, MI 48867-2116
Phone (989) 729-4292

Other identifiers 1

IdentifierTypeStateIssuer
1184846354MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140404001921 MI Practitioner - Obstetrics/Gynecology 0143490607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

818 W King St LL
Memorial Healthcare OB/GYN
Owosso, MI 48867-2116
Phone (989) 729-4292

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088664MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center of West Michigan CurrentSince Mar 1, 2019 Accepting new patients
Memorial Hospital Current Accepting new patients
Memorial Hospital Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Mecosta County Medical Center CurrentSince Jul 1, 2019 Accepting new patients
Mecosta County Medical Center CurrentSince Jul 1, 2019 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Memorial Hospital CurrentSince Mar 1, 2019 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Mar 1, 2019 Accepting new patients
Memorial Hospital Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

722 Locust St
Big Rapids, MI 49307
Phone (231) 592-4200

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

818 W King St
Ste Ll
Owosso, MI 48867
Phone (989) 729-4292

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Interoperability endpoints

  • Direct secure messaging: i.frye@memorialhealthcare.midirect.net

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1184846354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE LL",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-729-4292",
            "fax_number": "989-725-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE LL",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-729-4292",
            "fax_number": "989-725-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "IRA",
        "middle_name": "STANLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301088664",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301088664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184846354",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.