DR. JEAN R ELRICK MD NPI 1275524993

NPI Information

NPI: 1275524993
Provider Name: DR. JEAN R ELRICK, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
55 FRUIT ST
BUL 240D
BOSTON, MA
ZIP 02114
Phone: (617) 726-0430
Get Directions

DR. Jean R Elrick, MD is a critical care medicine internal medicine in Boston, MA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Jean R Elrick, MD NPI is 1275524993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
BUL 240D
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-0430
Fax: (617) 724-3377

The enumeration date for this NPI number is 11/2/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	59691	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	059691	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
2	J10524	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	E68815	MEDICARE UPIN
4	3072169	MEDICAID	MASSACHUSETTS
5	J10524	OTHER	MASSACHUSETTS	BCBS MA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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