Active NPI
Erica R Frye, PA
- Physician Assistant
- Saint Albans, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 01316
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WV0089C | Other | WV | MEDICARE PIN |
| 1072225 | Other | WV | WV DWC |
| 001991227 | Other | WV | BLUE CROSS BLUE SHIELD |
Other names 1
- Erica R Jordan
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
Enrollment records 1
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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womencare, Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare, Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | Accepting new patients | |
| Womencare Inc | Current | 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
- 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.
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Cross Lanes, WV
- NPI 1396237434
-
dba FamilyCare HealthCenter
- Federally Qualified Health Center (FQHC)
- Barboursville, WV
- NPI 1447618327
-
dba Familycare Health Center
- Federally Qualified Health Center (FQHC)
- Dunbar, WV
- NPI 1578073706
-
dba FamilyCare Health Center - Hurricane
- Federally Qualified Health Center (FQHC)
- Hurricane, WV
- NPI 1962045948
-
dba Familycare Health Centers
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1174106124
-
- Federally Qualified Health Center (FQHC)
- Madison, WV
- NPI 1740450089
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Scott Depot, WV
- NPI 1194759290
Physician Assistant
-
dba Familycare Health Centers
- Federally Qualified Health Center (FQHC)
- Marmet, WV
- NPI 1730671751
-
dba FamilyCare Health Center
- Federally Qualified Health Center (FQHC)
- Charleston, WV
- NPI 1871872184
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.