Active NPI
Jeffrey R Fryer, CRNA
- Certified Registered Nurse Anesthetist
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 123076
- Practice address
- 2000 Boise Ave
Loveland, CO 80538-5006 - Phone
- (970) 810-4819
- Fax
- (970) 378-4015
- NPI assigned
- Nov 3, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 123076 | CO | Primary |
Addresses
Primary practice location
2000 Boise Ave
Loveland, CO 80538-5006
Mailing address
2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 810-4819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59105038 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain State Anesthesia Providers | Current | Accepting new patients | |
| Rocky Mountain State Anesthesia Providers | Current | Accepting new patients | |
| Keystone Hospitalist Services of Ms Inc | Past | Accepting new patients |
Locations
4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600
1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121
5890 W 13th St
Ste 102
Greeley, CO 80634
Phone (970) 348-0090
5890 W 13th St
Greeley, CO 80634
Phone (970) 356-4567
1801 16th St
Greeley, CO 80631
Phone (970) 352-4121
2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Greeley, CO
- NPI 1730692054
-
- Anesthesiology Physician
- Loveland, CO
- NPI 1710510417
-
- Hospitalist Physician
- Tylertown, MS
- NPI 1932447968
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1467443820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 BOISE AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385006",
"telephone_number": "970-810-4819",
"fax_number": "970-378-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BOISE AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385006",
"telephone_number": "970-810-4819",
"fax_number": "970-378-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYER",
"first_name": "JEFFREY",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "123076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "59105038",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
- Front Range Family Health & Chiropractic, LLC
- Front Range Health Partners (Front Range Wound Care & Hyperbaric)
- Front Range Pain Medicine LLC (Front Range Pain Medicine Loveland)
- Front Range Plastic & Reconstructive Surgery PC
- Christine Marie Frye, OTD, OTR/L
- Elle S Fryhling
- Eric J Fuhrmann
- Kiera Fulka
- Jennifer Fyhrie, OTR/L
- Katherine Gabler, PTL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.