ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC (NPI# 1689724692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689724692 |
| Entity Type | Organization |
| Organization Name | ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC |
| Practice Address |
711 Maiden Choice Ln Catonsville MD 21228-3632 |
| Mailing Address |
5525 Research Park Dr 4th Floor Baltimore MD 21228-4664 |
| Practice Telephone | 4102475602 |
| Practice Fax Number | 4102471756 |
| Mailing Telephone | 4104022258 |
| Mailing Fax Number | 4102047279 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | MATTHEW J NARRETT (VP AND CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 4104022257 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DME | 5543900001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912487 | Erickson Health Medical Group of Maryland, PC | Social Worker | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2020-08-10 |
| 1972114403 | Erickson Health Medical Group of Maryland, PC | Social Worker | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2020-08-10 |
| 1467503094 | Erickson Health Medical Group of Maryland, PC | Durable Medical Equipment & Medical Supplies | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2007-01-12 |
| 1386795912 | Erickson Health Medical Group of Maryland, PC | Durable Medical Equipment & Medical Supplies | 8800 Walther Blvd, Baltimore, MD 21234-9001 | 2007-01-12 |
| Street Address |
711 MAIDEN CHOICE LN |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972114403 | Erickson Health Medical Group of Maryland, PC | Social Worker | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2020-08-10 |
| 1003433285 | Ija Lynn Delia | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2020-07-03 |
| 1922599984 | Shannon Lea Miller | Social Worker | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2018-05-25 |
| 1306352000 | Nicole Anne Dozier | Social Worker | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2017-12-18 |
| 1477898591 | Kristen R Mcgaha | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228 | 2012-11-29 |
| 1104100882 | Assiatu B. Barrie | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2011-09-29 |
| 1376832584 | Kristin Davidson Burkhardt | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2011-03-29 |
| 1477799245 | Hilda Ardella Lively | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2008-12-29 |
| 1992968960 | Lakshmi Meenakshisundaram | Internal Medicine | 711 Maiden Choice Ln, Catonsville, MD 21228 | 2008-07-09 |
| 1093907982 | Amy E Mutch | Internal Medicine | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2007-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1255825733 | Dms,north America LLC | Durable Medical Equipment & Medical Supplies | 1012 Kent Ave, Catonsville, MD 21228-1213 | 2018-06-19 |
| 1386953354 | Shoppe Central L.l.c | Durable Medical Equipment & Medical Supplies | 900 S Rolling Rd, Catonsville, MD 21228-5318 | 2010-09-24 |
| 1508173394 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6323 Baltimore National Pike, Catonsville, MD 21228-3902 | 2010-09-01 |
| 1104077346 | Paulette Maria Scotland | Durable Medical Equipment & Medical Supplies | 210 Altamont Avenue, Catonsville, MD 21228 | 2008-10-07 |
| 1164437356 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5657 Baltimore National Pike, Catonsville, MD 21228-1412 | 2006-07-29 |
| 1245258763 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 5702 Baltimore National Pike, Catonsville, MD 21228-1306 | 2006-07-17 |
| 1750308037 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6205 Baltimore National Pike, Catonsville, MD 21228-2908 | 2006-07-16 |
| 1144745886 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6401 Frederick Rd, Catonsville, MD 21228-3504 | 2017-08-03 |
| 1922425669 | Jeannine George-richardson, Dpm | Durable Medical Equipment & Medical Supplies | 2 E Rolling Crossroads, Suite 152, Catonsville, MD 21228-6211 | 2014-03-19 |
| Find all providers in CATONSVILLE | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC.
| 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.