Individual provider Active NPI

Mary Elizabeth Frey, D.O.

  • Family Medicine Physician
  • Sandusky, OH
National Provider Identifier
1407868086
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-6331 Issued in OH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.