Active NPI
Elisabeth A Ferlic, M.D.
- Urology Physician
- Sandy, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 9017811-1205
- Practice address
- 9720 S 1300 E
Suite E230
Sandy, UT 84094-3712 - Phone
- (801) 501-2950
- Fax
- (801) 501-2951
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 56312 | MN | |
| Urology Physician | 208800000X | 01098927A | IN | |
| Urology Physician | 208800000X | 036178081 | IL | |
| Urology Physician | 208800000X | 42235 | AZ | |
| Urology Physician | 208800000X | 9017811-1205 | UT | Primary |
Addresses
Primary practice location
9720 S 1300 E
Suite E230
Sandy, UT 84094-3712
Mailing address
9720 S 1300 E
Suite E230
Sandy, UT 84094-3712
Phone (801) 501-2950
Other practice location 1
11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714
Phone (260) 425-5400
Other practice location 2
1001 Main St Ste 400
Peoria, IL 61606-2036
Phone (309) 308-0920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470009 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, GA, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Tulane University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020
1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1000
151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900
151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800
151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882
151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100
151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159
1904 Palmyra Rd
Albany, GA 31701-1575
Phone (229) 883-0500
1950 Palmyra Rd
Albany, GA 31701-1575
Phone (229) 432-8463
417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222
Hospital & facility affiliations
- Parkview Regional Medical Center
- Phoebe Putney Memorial Hospital
- Intermountain Health Alta View Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036178081 | IL | MD | Urology Physician |
| 01098927A | IN | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Parkview Health System, Inc. | Urology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Ihc Health Services Inc | Urology | Past | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Family Medicine | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
1950 Palmyra Rd
Albany, GA 31701
Phone (229) 883-1503
2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1001 Main St
Ste 400
Peoria, IL 61606
Phone (309) 308-0920
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
11141 Parkview Plaza Dr
Ste 320
Fort Wayne, IN 46845
Phone (260) 425-5400
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
1818 Carew St
Ste 210
Fort Wayne, IN 46805
Phone (260) 425-5400
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000
9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Family Medicine Physician
- Kearns, UT
- NPI 1699060608
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Urology Physician
- Fort Wayne, IN
- NPI 1144555020
-
- Urology Physician
- Sandy, UT
- NPI 1316357197
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1114185634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9720 S 1300 E",
"address_2": "SUITE E230",
"city": "SANDY",
"state": "UT",
"postal_code": "840943712",
"telephone_number": "801-501-2950",
"fax_number": "801-501-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9720 S 1300 E",
"address_2": "SUITE E230",
"city": "SANDY",
"state": "UT",
"postal_code": "840943712",
"telephone_number": "801-501-2950",
"fax_number": "801-501-2951"
}
],
"practiceLocations": [
{
"address_1": "11141 Parkview Plaza Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451714",
"country_code": "US",
"telephone_number": "260-425-5400",
"fax_number": "260-425-5417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Main St Ste 400",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616062036",
"country_code": "US",
"telephone_number": "309-308-0920",
"fax_number": "309-308-0930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERLIC",
"first_name": "ELISABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MN",
"license": "56312",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IN",
"license": "01098927A",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036178081",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "42235",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "UT",
"license": "9017811-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470009",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.