Active NPI
James Richard Fry, PA-C
- Medical Physician Assistant
- Cincinnati, OH
National Provider Identifier
1891710273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1944
- Practice address
- 2925 Vernon PL
Suite 200
Cincinnati, OH 45219-2425 - Phone
- (513) 751-6667
- Fax
- (513) 872-4553
- NPI assigned
- Jul 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 526 | WV | |
| Medical Physician Assistant | 363AM0700X | 1944 | OH | Primary |
Addresses
Primary practice location
2925 Vernon PL
Suite 200
Cincinnati, OH 45219-2425
Mailing address
1505 Tipperary CT
Middletown, OH 45042-3038
Phone (513) 658-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 526 | WV | MD | Counseling Psychologist |
| 1944 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Marietta, OH
- NPI 1710043583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1891710273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 TIPPERARY CT",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423038",
"telephone_number": "513-658-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 VERNON PL",
"address_2": "SUITE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192425",
"telephone_number": "513-751-6667",
"fax_number": "513-872-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WV",
"license": "526",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "1944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.