Carla Renee Fray, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA377 Issued in KY

Practice address

101 Financial PL Ste 104
Elizabethtown, KY 42701-8481

Phone

(270) 765-5127

Fax

(270) 765-5337

NPI assigned

Jul 29, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Carla R Lydian Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT Care Centers PLLCGroup PAC ID 2961896832, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• ENT Care Centers PLLC

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1093381485
  Medicare reassignment Care Compare group
• Heartland ENT & Allergy Center, P.S.C.

  • Otolaryngology Physician
  • Elizabethtown, KY
  • NPI 1780763078
  Medicare reassignment
• Harold W. Blevins, M.D.,P.S.C.

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1659420800
  NPD
• Kentuckiana Ear, Nose & Throat PSC

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1194771592
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1124028246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FINANCIAL PL STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018481",
            "telephone_number": "270-765-5127",
            "fax_number": "270-765-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FINANCIAL PL STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018481",
            "telephone_number": "270-765-5127",
            "fax_number": "270-765-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAY",
        "first_name": "CARLA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "LYDIAN",
            "middle_name": "R",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Dee Fox
• Nicholas Fox, D.C.
• Rachel Anne Fox, LPCA
• Joanne Frank, CRNA
• Robert Leslie Franklin Jr., D.M.D.
• Cheri Michelle Frederick
• Tony David Fredericks II
• Alexandria French
• Bonnie J. French, APRN
• Krysten Leigh French

• Physician Assistant in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.

Verify at the official NPI Registry.