Basic Information
| Provider Information | |||||||||
| NPI: | 1487674420 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VORHIS | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | BRAY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1987 | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462061987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8776852164 | ||||||||
| FaxNumber: | 3176636054 | ||||||||
| Practice Location | |||||||||
| Address1: | 534 BILTMORE AVE | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288014612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282130594 | ||||||||
| FaxNumber: | 8282130590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 01/15/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | ME83453 | FL | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0202X | 201402203 | NC | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | P00345078 | 01 | FL | RAIL ROAD MEDICARE | OTHER | 239216 | 01 | FL | AVMED | OTHER | 270855 | 01 | FL | AVMED | OTHER | 276839900 | 05 | FL | MEDICAID | P00368377 | 01 | FL | RAIL ROAD MEDICARE | OTHER | 76074 | 01 | FL | BLUE CROSS BLUE SHIELD | OTHER |