| Mr Jack Robert Fry, CRNA | |
|
7333 Smiths Mill Rd, New Albany, OH 43054-9291 | |
| (614) 775-6675 | |
| Not Available |
| Full Name | Mr Jack Robert Fry |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 42 Years |
| Location | 7333 Smiths Mill Rd, New Albany, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023032141 | NPI | - | NPPES |
| 2044719 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN161169 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Center Anesthesia Services Llc | 6406373935 | 23 |
| Entity Name | New Albany Orthopedic Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093762635 PECOS PAC ID: 7618872789 Enrollment ID: O20031203000000 |
| Entity Name | Ophthalmic Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023069515 PECOS PAC ID: 4385627470 Enrollment ID: O20040610000143 |
| Entity Name | Eye Center Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760292858 PECOS PAC ID: 6406373935 Enrollment ID: O20250508001204 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Robert Fry, CRNA 963 Neil Ave, Columbus, OH 43201-3434 Ph: (614) 299-0902 | Mr Jack Robert Fry, CRNA 7333 Smiths Mill Rd, New Albany, OH 43054-9291 Ph: (614) 775-6675 |
Robin Lee Kubasek, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6520 W Campus Oval, New Albany, OH 43054 Phone: 614-413-2233 | |
Cynthia D. Fisher, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6520 West Campus Oval, Central Ohio Surgical Institute, New Albany, OH 43054 Phone: 614-413-2233 Fax: 614-413-2234 | |
Robert Tyler Fisher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5031 Forest Dr Ste C, New Albany, OH 43054 Phone: 614-939-5416 | |
Carrie Lynn Malfatto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7333 Smiths Mill Rd, New Albany, OH 43054 Phone: 614-775-6340 | |
Patricia White, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Central Ohio Surgical Institute, 6520 West Campus Oval, New Albany, OH 43054 Phone: 614-413-2233 Fax: 614-413-2234 | |
Karen M. Rice, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Central Ohio Surgical Institute, 6520 West Campus Oval, New Albany, OH 43054 Phone: 614-413-2233 Fax: 614-413-2234 |