Individual provider Active NPI

Erica R Frye, PA

  • Physician Assistant
  • Saint Albans, WV
National Provider Identifier
1740476357
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
01316 Issued in WV
Practice address
12 Kanawha Ter
Saint Albans, WV 25177-2750
Phone
(304) 201-1130
Fax
(304) 201-1134
NPI assigned
Sep 18, 2007
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 01316 WV Primary

Addresses

Primary practice location

12 Kanawha Ter
Saint Albans, WV 25177-2750

Mailing address

97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815
Phone (304) 757-6999

Other practice location 1

97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815
Phone (304) 757-6999

Other identifiers 3

IdentifierTypeStateIssuer
WV0089COtherWVMEDICARE PIN
1072225OtherWVWV DWC
001991227OtherWVBLUE CROSS BLUE SHIELD

Other names 1

  • Erica R Jordan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20071012000693 WV Practitioner - Physician Assistant 4486740941 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womencare IncGroup PAC ID 4587568134, shared by 19 NPIs, 52 clinicians

Practice addresses (Care Compare)

1220 Lee St E
Suite 201
Charleston, WV 25301-1864
Phone (304) 757-6999

16 Hurricane Creek Rd
Hurricane, WV 25526-1244
Phone (304) 760-6336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare, Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare, Inc CurrentSince Jun 3, 2013 Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Jan 1, 2022 Accepting new patients
Womencare, Inc Current Accepting new patients
Women Care Inc Physician Assistant Past Accepting new patients
Links LLC Past Accepting new patients
Teays Valley Emergency Physicians, Inc Physician Assistant Past Accepting new patients
New Century Emergency Physician of West Virginia Inc Physician Assistant Past Accepting new patients
Womencare Inc Past Accepting new patients

Locations

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

100 Florida St
Charleston, WV 25302
Phone (304) 348-6613

108 Washington St W
#201
Charleston, WV 25302
Phone (304) 757-4845

108 Washington St W
Ste 201
Charleston, WV 25302
Phone (304) 345-2229

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

1500 Greenbrier St
Ste 160
Charleston, WV 25311

501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466

812 Park Ave
Rm 35
Charleston, WV 25302

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323

301 Washington Ave
Rm 4
Dunbar, WV 25064

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3109 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 562-2002

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

4513 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 768-7371

12803 Winfield Rd
Winfield, WV 25213
Phone (304) 586-3088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1740476357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD",
            "address_2": "SUITE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609815",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KANAWHA TER",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772750",
            "telephone_number": "304-201-1130",
            "fax_number": "304-201-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Great Teays Blvd",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Scott Depot",
            "state": "WV",
            "postal_code": "255609815",
            "country_code": "US",
            "telephone_number": "304-757-6999",
            "fax_number": "304-757-3252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYE",
        "first_name": "ERICA",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "WV0089C",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV DWC",
            "identifier": "1072225",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001991227",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "JORDAN",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Albans, WV

Sources for this page

Verify at the official NPI Registry.