MS. ELIZABETH ALICE FRIES (NPI# 1821095019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821095019 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ALICE FRIES |
| Credential | PA-C |
| Practice Address |
46896 Highway 1 Big Sur CA 93920-9693 |
| Practice Telephone | 8316672580 |
| Practice Fax Number | 8316670184 |
| Mailing Telephone | 8316672580 |
| Mailing Fax Number | 8316670184 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
51352 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 1473 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CMM70858F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710363452 | Elizabeth Fries | Occupational Therapist | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2015-08-05 |
| Street Address |
46896 HIGHWAY 1 |
| City | BIG SUR |
| State | CA |
| Zip Code | 93920-9693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639553688 | Big Sur Health Center | Clinic/Center | 46896 Highway 1, Big Sur, CA 93920-9693 | 2015-07-18 |
| 1598012791 | Danielle Middle Glazer | Nurse Practitioner | 46896 Highway 1, Big Sur, CA 93920-9693 | 2012-08-07 |
| 1760647861 | Marta Elizabeth Mejia | Dentist | 46896 Highway 1, Big Sur, CA 93920-9693 | 2008-07-28 |
| 1811103484 | Gregory Irvin Wirth | Chiropractor | 46896 Highway 1, Big Sur, CA 93920-9693 | 2007-05-14 |
| 1306917265 | Brita Axell Bruemmer | Family Medicine | 46896 Highway 1, Big Sur, CA 93920-9693 | 2006-11-13 |
| 1003908484 | Big Sur Health Center | Clinic/Center | 46896 Highway 1, Big Sur, CA 93920-9693 | 2006-09-29 |
| 1669576005 | William Benda Jr. | Emergency Medicine | 46896 Highway 1, Big Sur, CA 93920-9693 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508115338 | Peter Martin Harding | Psychiatry & Neurology | 54540 Highway 1, Big Sur, CA 93920 | 2012-09-07 |
| 1598039505 | Stancil E.d. Johnson, M.d, A Professional Corporation | Psychiatry & Neurology | Junipero St Btwn 4th & 5th St, Suite 4, Carmel, CA 93920 | 2012-03-08 |
| 1740398163 | Sharen Carey | Physician Assistant | 46896 Highway One, Bigsur, CA 93920 | 2006-08-26 |
| 1851473474 | Kimberly Rousseau | Chiropractor | 46840 Highway 1 Ste 7, Big Sur, CA 93920-9507 | 2006-10-20 |
| 1588051858 | Big Sur Charter School | Case Management | 47540 Highway 1, Big Sur, CA 93920-9632 | 2015-04-23 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
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|---|---|---|---|---|
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| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.