Individual provider Active NPI

Erika Dawn Glas, D.O.

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1336348499
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS11862 Issued in FL
Practice address
836 Prudential Dr
Suite 1103
Jacksonville, FL 32207-8338
Phone
(904) 398-9499
Fax
(904) 398-0118
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125-049254 IL
Obstetrics & Gynecology Physician 207V00000X OS11862 FL Primary

Addresses

Primary practice location

836 Prudential Dr
Suite 1103
Jacksonville, FL 32207-8338

Mailing address

PO Box 16568
Jacksonville, FL 32245-6568
Phone (904) 472-2300

Other identifiers 1

IdentifierTypeStateIssuer
006432800MedicaidFL

Other names 1

  • Erika Dawn Frykberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000454 FL Practitioner - Obstetrics/Gynecology 7517005887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11862FLMDObstetrics & Gynecology Physician
125-049254ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 7, 2025 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 7, 2025 Accepting new patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Apr 1, 2019 Accepting new patients
New Horizons Continence Management LLC Past Accepting new patients

Locations

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

836 Prudential Dr
Ste 1105
Jacksonville, FL 32207
Phone (904) 398-2756

836 Prudential Dr
Ste 1103
Jacksonville, FL 32207
Phone (904) 398-7654

836 Prudential Dr
Ste 1107
Jacksonville, FL 32207
Phone (904) 398-0033

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Interoperability endpoints

  • Direct secure messaging: erikaglas@gaobgynllc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1336348499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16568",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456568",
            "telephone_number": "904-472-2300",
            "fax_number": "904-472-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR",
            "address_2": "SUITE 1103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078338",
            "telephone_number": "904-398-9499",
            "fax_number": "904-398-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAS",
        "first_name": "ERIKA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125-049254",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS11862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006432800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "FRYKBERG",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.