Active NPI
Amy M Fry, M.D.
- Obstetrics & Gynecology Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01062670
- Practice address
- 2900 Medical Center Pkwy Ste 240a
Bentonville, AR 72712-3204 - Phone
- (795) 533-3340
- Fax
- (479) 553-1964
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01062670 | IN | Primary |
Addresses
Primary practice location
2900 Medical Center Pkwy Ste 240a
Bentonville, AR 72712-3204
Mailing address
1200 SE 28TH St
2
Bentonville, AR 72712-3881
Phone (479) 271-0005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178153001 | Medicaid | AR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy.fry.1@2229.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Arkansas College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Medical Ctr Pkwy
Suite 380
Bentonville, AR 72712-3305
Phone (479) 553-3340
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062670 | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Women'S Specialty Group, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Lifespring Women'S Healthcare PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Newman, M.D. Plastic Surgery, P.a. | Past | Accepting new patients |
Locations
2900 Medical Center Pkwy
Ste 240A
Bentonville, AR 72712
Phone (479) 553-2215
2900 Medical Center Pkwy
Ste 380
Bentonville, AR 72712
Phone (479) 553-3340
1200 SE 28th St
Ste 2
Bentonville, AR 72712
Phone (479) 271-0005
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GAHCDA
- amy.fry.1@30995.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Bentonville, AR
- NPI 1508626359
-
- Obstetrics & Gynecology Physician
- Bentonville, AR
- NPI 1164519450
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Plastic Surgery Physician
- Mountain Home, AR
- NPI 1194975409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1821170481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SE 28TH ST",
"address_2": "2",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123881",
"telephone_number": "479-271-0005",
"fax_number": "479-273-1427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 240A",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123204",
"telephone_number": "795-533-3340",
"fax_number": "479-553-1964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "AMY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01062670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178153001",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy.fry.1@2229.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "2900 Medical Center Pkwy Ste 240A",
"city": "Bentonville",
"state": "AR",
"country_code": "US",
"postal_code": "727123204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.