CARYLON FRERICH (NPI# 1639178080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639178080 |
| Entity Type | Individual |
| Full Name | CARYLON FRERICH |
| Credential | PA |
| Practice Address |
1501 W 11th Pl Suite 102 Big Spring TX 79720-4119 |
| Practice Telephone | 4322636018 |
| Mailing Telephone | 4322636018 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA03312 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TX | 8N4712 | 01 |
| TX | 184362501 | 05 |
| Street Address |
1501 W 11TH PL SUITE 102 |
| City | BIG SPRING |
| State | TX |
| Zip Code | 79720-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966829 | Alan E Abel | Surgery | 1501 W 11th Pl, Suite 102, Big Spring, TX 79720-4119 | 2005-07-19 |
| 1477958692 | Deborah Gullatt | Counselor | 1501 W 11th Pl, Suite 104, Big Spring, TX 79720-4119 | 2014-10-30 |
| 1629224746 | Joseph E. Chavez, M.d., Pa | Pediatrics | 1501 W 11th Pl, Ste. 205, Big Spring, TX 79720-4119 | 2008-08-08 |
| 1952471344 | Manuel R. Carrasco,md,pa | Internal Medicine | 1501 W 11th Pl, Suite 302, Big Spring, TX 79720-4119 | 2006-11-09 |
| 1447270095 | Manish Shroff | Internal Medicine | 1501 W 11th Pl, 301, Big Spring, TX 79720-4121 | 2006-07-19 |
| 1851348361 | Robert P Hayes,md, Pa | Specialist | 1501 W 11th Pl, Suite 102, Big Spring, TX 79720-4119 | 2006-05-28 |
| 1962460345 | Joseph Edward Chavez | Pediatrics | 1501 W 11th Pl, Ste. 205, Big Spring, TX 79720-4119 | 2006-05-03 |
| 1134199623 | Scott Wade Barclay | Family Medicine | 1501 W 11th Pl, Suite 206, Big Spring, TX 79720-4119 | 2006-01-25 |
| 1649251976 | Kimberly J Saenz M D P L L C | Pediatrics | 1501 W 11th Pl, Suite 206, Big Spring, TX 79720-4119 | 2005-11-14 |
| 1609865534 | Haddad Urology Clinic, P.a. | Urology | 1501 W 11th Pl, Suite103, Big Spring, TX 79720-4119 | 2005-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174072 | Sharron Harrell | Technician | 407 Driver Rd, Big Spring, TX 79720 | 2019-09-23 |
| 1760049357 | Big Spring Urgent Care Pllc | Clinic/Center | 1700 Wfm 700 Suite B, Big Spring, TX 79720 | 2019-05-20 |
| 1558927582 | West Texas Injury Prevention | Nurse Practitioner | 1111 Scurry, Big Spring, TX 79720 | 2019-05-15 |
| 1417442781 | Caprise Carrisalez | Licensed Vocational Nurse | 2536 Westover, #140, Big Spring, TX 79720 | 2018-06-28 |
| 1235644758 | Connect2speech, LLC | Speech-Language Pathologist | 603 S Gregg St Ste C, Big Spring, TX 79720 | 2017-12-06 |
| 1396256913 | Pf Development 16, LLC | Home Health | 609 S Gregg St, Big Spring, TX 79720 | 2017-10-23 |
| 1497202063 | Wiggins-worthy Wellness Pllc | Clinic/Center | 607 N Main St., Big Spring, TX 79720 | 2016-09-01 |
| 1336537109 | Sangwook Kang | Nurse Anesthetist, Certified Registered | 1601 W 11th Place, Big Spring, TX 79720 | 2015-01-02 |
| 1245542091 | Mme II LLC | Durable Medical Equipment & Medical Supplies | 1903 S Gregg St, Big Spring, TX 79720 | 2010-07-09 |
| 1699945659 | Treasa Kerby Wells | Registered Nurse | 2103 Morrison Drive, Big Spring, TX 79720 | 2008-03-06 |
| Find all providers in zip 79720 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073612164 | Ryan Cole Williams | Physician Assistant | 2503 S Gregg St, Unit C, Big Spring, TX 79720-2549 | 2006-09-22 |
| 1306379458 | Gary Don Hull | Physician Assistant | 1701 Apron Dr, Big Spring, TX 79720-7821 | 2017-04-05 |
| 1063425270 | Patricia L. Stahlbaum | Physician Assistant | 1901 Highway 87 N, Big Spring, TX 79720-0283 | 2006-08-15 |
| 1427060144 | Kandace Denise Gard-dawson | Physician Assistant | 1901 Highway 87 N, Big Spring, TX 79720-0283 | 2006-08-12 |
| 1396763447 | Rachel H Williams | Physician Assistant | 1901 N Us Highway 87, Big Spring, TX 79720-0283 | 2006-07-17 |
| 1073583183 | John Castle | Physician Assistant | 1901 N Us Highway 87, Big Spring, TX 79720-0283 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1366042335 | Mary Elizabeth Arnold | Physician Assistant | 12455 Longmire Lakeview, Conroe, TX 77304-1087 | 2020-10-29 |
| 1396345443 | Avery Rhodes Schwartz | Physician Assistant | 2206 Latexo Dr, Houston, TX 77018-1717 | 2020-10-28 |
| 1174123111 | Stephanie Rae Moench | Physician Assistant | 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 | 2020-10-28 |
| 1811596927 | Emily Lau | Physician Assistant | 3848 N Tarrant Pkwy Ste 120, Fort Worth, TX 76244-5422 | 2020-10-20 |
| 1720686116 | Richard Magana | Physician Assistant | 1651 Ridgemar Dr, Grand Prairie, TX 75051-3340 | 2020-10-16 |
| 1295333532 | Victoria Jane Campbell | Physician Assistant | 4412 Young Dr, Carrollton, TX 75010-1144 | 2020-10-09 |
| 1134726763 | Barbara Elizabeth Montoya | Physician Assistant | 3309 Nottingham Dr, Laredo, TX 78043-1202 | 2020-10-06 |
| 1376140400 | April L Thepsoumane | Physician Assistant | 4808 Hale Dr, Austin, TX 78749-3711 | 2020-10-01 |
| 1881291938 | Christine Nicole Nott | Physician Assistant | 13325 Hargrave Rd # 240, Houston, TX 77070-4539 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | BIG SPRING |
| Zip Code | 79720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.