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Contact Information

ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC
100 BROOKSBY VILLAGE DR
PEABODY, MA01960-1438
 Phone: 978-536-7850
 Fax: 978-536-7051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

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 MASSACHUSETTS PC

NPI Number 1164442919
LBN Legal business name ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC
Authorized official MATTHEW NARRETT - (SENIOR VP AND CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2006
Last updated 08/10/2023 - About 3 years ago
Identifiers
MA Medicaid 9731610
Other M17596 BCBS
Other 1427124015 BCBS OF MA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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