Provider Demographics
NPI:1982952966
Name:FRISCH, ERICA J (PA)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:J
Last Name:FRISCH
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:4895 OLENTANGY RIVER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1926
Mailing Address - Country:US
Mailing Address - Phone:614-457-7732
Mailing Address - Fax:614-457-4346
Practice Address - Street 1:4895 OLENTANGY RIVER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1926
Practice Address - Country:US
Practice Address - Phone:614-457-7732
Practice Address - Fax:614-457-4346
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-22
Last Update Date:2016-08-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH50.002459RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0075078Medicaid
OHH131580Medicare PIN