Organization Active NPI

Robert We Fry MD Inc.

  • Orthopaedic Surgery Physician
  • Templeton, CA
National Provider Identifier
1255814281
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ROBERT WE FRY MD INC.
Practice address
1111 Las Tablas Rd Ste R
Templeton, CA 93465-9732
Phone
(805) 434-4848
NPI assigned
Sep 14, 2018
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Beth Gabrielle Hutchinson
Title
Office Manager
Phone
(805) 434-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1111 Las Tablas Rd Ste R
Templeton, CA 93465-9732

Mailing address

1111 Las Tablas Rd Ste R
Templeton, CA 93465-9732
Phone (805) 434-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180912001809 CA Part B Supplier - Clinic/Group Practice 1850641895 Receives reassigned benefits from 1 practitioner
Practice locations: Templeton, CA
O20190410002697 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1850641895 Practice locations: Templeton, CA

National Provider Directory

National Provider Directory

Locations

1111 Las Tablas Rd
Ste R
Templeton, CA 93465
Phone (805) 286-4416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255814281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS RD STE R",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659732",
            "telephone_number": "805-434-4848",
            "fax_number": "805-434-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 LAS TABLAS RD STE R",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659732",
            "telephone_number": "805-434-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WE FRY MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-434-4848"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.