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Contact Information

ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC
3110 GRACEFIELD RD
SILVER SPRING, MD20904-1820
 Phone: 301-572-8340
 Fax: 301-572-8403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Podiatrist

213E00000X 48 Podiatry
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC · (Female)

NPI # 1205856549
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2006
Last updated 11/13/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 008203102
  • MD Medicaid 400550300
  • Other T016 BCBS DC
  • Other 138CSE BCBS MD
  • Other 42455801 BCBS MD
  • Other 9680-0059 BCBS OF DC
  • Other 0943-SE-881489-01 BCBS OF MD
  • Other 0008 CAREFIRST BCBS
  • Other 04-04109 EVERCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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