Active NPI
Mary Elizabeth Frey, D.O.
- Family Medicine Physician
- Sandusky, OH
National Provider Identifier
1407868086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-00-6331
- Practice address
- 3416 Columbus Ave
VA Clinic
Sandusky, OH 44870-5557 - Phone
- (419) 625-7350
- Fax
- (419) 625-6660
- NPI assigned
- Aug 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-00-6331 | OH | Primary |
Addresses
Primary practice location
3416 Columbus Ave
VA Clinic
Sandusky, OH 44870-5557
Mailing address
1315 Cleveland Rd W
5
Huron, OH 44839-1457
Phone (419) 625-7350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407868086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 CLEVELAND RD W",
"address_2": "5",
"city": "HURON",
"state": "OH",
"postal_code": "448391457",
"telephone_number": "419-625-7350",
"fax_number": "419-625-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 COLUMBUS AVE",
"address_2": "VA CLINIC",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705557",
"telephone_number": "419-625-7350",
"fax_number": "419-625-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-00-6331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.