Carl R Fry, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.011206 Issued in OH

Practice address

1020 Trump Rd NW Ste 4
Carrollton, OH 44615-8423

Phone

(330) 627-0884

Fax

(330) 627-0885

NPI assigned

Jun 27, 2012

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Family Practice

Education

Ohio University, College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orrville Hospital FoundationGroup PAC ID 7911890546, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Health Care in Your Home Home health agency, Canton, OH, CCN 367290
• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
• Mercy Medical Center Hospital, Canton, OH, CCN 360070
• Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carl.fry@direct.aultman.org

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.

• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Aultman Hospital

  • Specialist
  • Canton, OH
  • NPI 1619911054

  Single Specialty

  Medicare reassignment NPD
• Aultman Hospital

  dba Aultman Employee Pharmacy

  • Community/Retail Pharmacy
  • Canton, OH
  • NPI 1700941978
  NPD
• Canton Aultman Emergency Physicians Inc

  • Emergency Medicine Physician
  • Canton, OH
  • NPI 1801832381

  Single Specialty

  NPD
• Orrville Hospital Foundation

  dba Aultman Orrville Carrollton Schools Health Center

  • Rural Health Clinic/Center
  • Carrollton, OH
  • NPI 1902655681
  NPD
• Orrville Hospital Foundation

  dba Aultman Orrville Carrollton Health Center

  • Rural Health Clinic/Center
  • Carrollton, OH
  • NPI 1255970513
  NPD (past)

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

• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Aultman Hospital

  dba Aultman Health Care In Your Home

  • Home Health Agency
  • Canton, OH
  • NPI 1669568564
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation
• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1265796049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TRUMP RD NW STE 4",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446158423",
            "telephone_number": "330-627-0884",
            "fax_number": "330-627-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TRUMP RD NW STE 4",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446158423",
            "telephone_number": "330-627-0884",
            "fax_number": "330-627-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "CARL",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.011206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fair Vision Inc (Carrollton Family Vision)
• Gregory A Fair, O.D.
• Troy Daniel Fairclough, DDS
• Theresa Fisher
• From the Ashes Counseling
• Aaliyah Cheyanne Geiser, CPR
• Wendy Dawn Gotschall, DNP, CNP, PMHNP-BC
• Gregory Lee Smith
• Grubbs Family Chiropractic Inc.
• William Frank Grubbs, DC

• Family Medicine Physician in Carrollton, OH
• Providers in Carrollton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.

Verify at the official NPI Registry.