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

Paul Fry

Individual provider Orthopaedic Surgery Physician · NPI 1255322640

Paul Fry is an Orthopedic Surgery in Gardnerville, Nevada. Graduated from University of Southern California Keck School of Medicine in 1983, 43 years ago. Practices with South Lyon Health Center Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
43
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, NV
In the registry since
2005
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1520 Virginia Ranch Rd Ste 101B
Gardnerville, NV 89410-5731
Phone: (775) 782-2442
Fax: (775) 782-7205
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 6420 (NV)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence G54590 (CA)

Record details

NPI number1255322640
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address973 Mica Dr, Suite 201, Carson City, NV 89705-7255

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Group practice South Lyon Health Center Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gardnerville