Active NPI
Ethan Fry, DO
- Clinical Cardiac Electrophysiology Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 02008513A
- Practice address
- 2401 S 31St St
Temple, TX 76508-0001 - Phone
- (254) 724-2111
- NPI assigned
- Jun 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 02008513A | IN | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-0001
Mailing address
2401 S 31St St
Temple, TX 76508-0001
Phone (254) 724-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Specialty Physicians, Inc
Practice addresses (Care Compare)
1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-2239
4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907
Hospital & facility affiliations
- Deaconess Hospital Inc
- Deaconess Henderson Hospital
- Gibson General Hospital
- Memorial Hospital and Health Care Center
- Ferrell Hospital Community Foundations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
Locations
350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
440 Scott Rolen Dr
Jasper, IN 47546
Phone (812) 481-1655
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811
2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059
Interoperability endpoints
- efry33493@ukhcdirect.org
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Clinical Cardiac Electrophysiology
-
- Cardiovascular Disease Physician
- Henderson, KY
- NPI 1124522750
Clinical Cardiac Electrophysiology
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
Clinical Cardiac Electrophysiology
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Hospitalist Physician
- Newburgh, IN
- NPI 1477592418
Clinical Cardiac Electrophysiology
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
-
- Hematology & Oncology Physician
- Henderson, KY
- NPI 1447925599
-
- Cardiovascular Disease Physician
- Newburgh, IN
- NPI 1477041556
Clinical Cardiac Electrophysiology
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- Rural Health Clinic/Center
- Harrisburg, IL
- NPI 1184202392
Hospital
-
- Critical Access Hospital
- Eldorado, IL
- NPI 1194713404
-
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1457586620
Hospital
-
- Rural Health Clinic/Center
- MC Leansboro, IL
- NPI 1689217820
Hospital
-
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1700011046
Hospital
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
- General Acute Care Hospital
- Henderson, KY
- NPI 1083759633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1245769124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "ETHAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-05",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "02008513A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.