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ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC NPI 1205856549


NPI Information

NPI: 1205856549
Provider Name: ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC

Other Name: RIDERWOOD MEDICAL CENTER

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 21D0976702

Address:
3110 GRACEFIELD RD
SILVER SPRING, MD
ZIP 20904
Phone: (301) 572-8340
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ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC is a geriatric medicine internal medicine in Silver Spring, MD. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC NPI is 1205856549. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Riderwood Medical Center.

The provider's business location address is:

3110 GRACEFIELD RD
SILVER SPRING, MD
ZIP 20904-820
Phone: (301) 572-8340
Fax: (301) 572-8403

The provider's authorized official is Matthew J Narrett .
The authorized official title is Senior Vp And Chief Medical Officer and has the following contact phone number (410) 402-2257.

The CLIA number assigned to this NPI record is 21D0976702 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/20/2006 and was last updated on 11/13/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristNo
2363LA2200XNurse PractitionerAdult HealthNo
3363LG0600XNurse PractitionerGerontologyNo
4207Q00000XFamily MedicineNo
5207QG0300XFamily MedicineGeriatric MedicineNo
6207R00000XInternal MedicineNo
7364SG0600XClinical Nurse SpecialistGerontologyNo
8364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo
9207RG0300XInternal MedicineGeriatric MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19680-0059OTHERBCBS OF DC
20008OTHERCAREFIRST BCBS
342455801OTHERBCBS MD
4T016OTHERBCBS DC
504-04109OTHEREVERCARE
6400550300MEDICAIDMARYLAND
7008203102MEDICAIDMARYLAND
80943-SE-881489-01OTHERBCBS OF MD
9138CSEOTHERBCBS MD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.