Active NPI
Erika Dawn Glas, D.O.
- Obstetrics & Gynecology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS11862
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006432800 | Medicaid | FL |
Other names 1
- Erika Dawn Frykberg
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS11862 | FL | MD | Obstetrics & Gynecology Physician |
| 125-049254 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Vitalmd Group Holding LLC | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Coral Springs, FL
- NPI 1477375590
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
-
- Geriatric Medicine (Family Medicine) Physician
- Elizabethton, TN
- NPI 1851523641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.