Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Fry, DO

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1245769124

Ethan Fry, DO is a Cardiac Electrophysiology in Temple, Texas. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2017, 9 years ago. Practices with Deaconess Specialty Physicians, Inc, a 229-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
IN
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-2111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 02008513A (IN)

Record details

NPI number1245769124
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2017
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address2401 S 31st St, Temple, TX 76508-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2017 (9 years in practice)
Group practice Deaconess Specialty Physicians, Inc — 229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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