Provider Demographics
NPI:1780647495
Name:FRYE, DOUG D (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUG
Middle Name:D
Last Name:FRYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 SW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-4509
Mailing Address - Country:US
Mailing Address - Phone:785-271-8100
Mailing Address - Fax:
Practice Address - Street 1:5000 SW 21ST ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-4509
Practice Address - Country:US
Practice Address - Phone:785-271-8100
Practice Address - Fax:785-271-9253
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0422923208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS042115OtherBCBC
KSP00060038Medicare PIN
KS042115OtherBCBC