Fryecare Valdese, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FRYECARE VALDESE, LLC

Doing business as

FryeCare Internal Medicine - Hickory

Practice address

915 Tate Blvd SE Ste 186
Hickory, NC 28602-4042

Phone

(828) 449-8458

Fax

(828) 323-8348

NPI assigned

May 19, 2015

Last updated

Jun 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Kyle Burtnett

Title

SVP, Outpatient Services, Tenet

Phone

(469) 893-2902

Specialties & licenses 1

Addresses

Other names 1

• FryeCare Internal Medicine - Hickory Doing business as

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 1790729994

  • NPI 1790729994

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1639558034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743547",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743547",
            "telephone_number": "828-449-8458",
            "fax_number": "828-323-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE STE 186",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-449-8458",
            "fax_number": "828-323-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYECARE VALDESE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP, OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2902",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FryeCare Internal Medicine - Hickory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Abagail Fuhrman
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• Bryan Fulkersin, FNP-C

• Internal Medicine Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Internal Medicine Physician in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.