Organization Active NPI

Patricia C Frye, MD LLC

  • Clinic/Center
  • Takoma Park, MD
National Provider Identifier
1558710855
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D0028622 Issued in MD
Legal business name
PATRICIA C FRYE, MD LLC
Practice address
6930 Carroll Ave
Suite 412
Takoma Park, MD 20912-4423
Phone
(301) 328-3045
Fax
(844) 213-8973
NPI assigned
Jun 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Patricia Frye, MDNPI 1295106078
Title
Proprietor
Phone
(301) 328-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D0028622 MD Primary

Addresses

Primary practice location

6930 Carroll Ave
Suite 412
Takoma Park, MD 20912-4423

Mailing address

6930 Carroll Ave
Suite 412
Takoma Park, MD 20912-4423
Phone (301) 328-3045

Other identifiers 1

IdentifierTypeStateIssuer
1295106078OtherMDNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160726000481 DC Part B Supplier - Clinic/Group Practice 6901199165 Receives reassigned benefits from 1 practitioner
Practice locations: Takoma Park, MD

National Provider Directory

National Provider Directory

Locations

6930 Carroll Ave
Ste 610
Takoma Park, MD 20912
Phone (301) 328-3045

6930 Carroll Ave
Ste 412
Takoma Park, MD 20912
Phone (301) 328-3045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1558710855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE",
            "address_2": "SUITE 412",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124423",
            "telephone_number": "301-328-3045",
            "fax_number": "844-213-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 CARROLL AVE",
            "address_2": "SUITE 412",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124423",
            "telephone_number": "301-328-3045",
            "fax_number": "844-213-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA C FRYE, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "301-328-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D0028622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295106078",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.