Randall Fryer, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO24652 Issued in OR

Practice address

17070 SE McLoughlin Blvd
Milwaukie, OR 97267-4960

Phone

(503) 345-5900

Fax

(503) 652-8954

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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 OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Medicare reassignment NPD
• Mid-Valley Healthcare Inc

  dba Samaritan Lebanon Community Hospital

  • Critical Access Hospital
  • Lebanon, OR
  • NPI 1689625980
  Medicare reassignment NPD
• Bay Area Hospital District

  • Home Health Agency
  • North Bend, OR
  • NPI 1215018197
  NPD
• Mid-Valley Healthcare Inc

  dba Samaritan Outpatient Treatment & Recovery Services - Newport

  • Addiction Medicine (Internal Medicine) Physician
  • Newport, OR
  • NPI 1740087899
  NPD
• Mid-Valley Healthcare, Inc.

  dba Samaritan Occupational Medicine - Brownsville

  • Internal Medicine Physician
  • Halsey, OR
  • NPI 1083067847
  NPD
• PHS Indian Hospital

  • General Acute Care Hospital
  • Red Lake, MN
  • NPI 1508809765
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376599910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674960",
            "telephone_number": "503-345-5900",
            "fax_number": "503-652-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 SE MCLOUGHLIN BLVD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674960",
            "telephone_number": "503-345-5900",
            "fax_number": "503-652-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYER",
        "first_name": "RANDALL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO24652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029141",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jens Frojen, M.A., CCC-SLP
• Lawrence Alfred Froland, OD
• Deborah L Frost, MD
• Rebecca Gail Fry
• Melissa Fryer, CCC-SLP
• Sara Fuentes Gomez
• Walter T Fula, P.T.
• Colleen Marie Fuller, N.D.
• Mary Anne Fulton, PT
• Carol A Funatake

• Family Medicine Physician in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.