NPIMap

Organization Active NPI

Erx Plus Professional Corporation

  • Emergency Medicine Physician
  • Sun Valley, CA
National Provider Identifier
1003681693
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ERX PLUS PROFESSIONAL CORPORATION
Practice address
9449 San Fernando Rd
Sun Valley, CA 91352-1421
Phone
(865) 777-1300
NPI assigned
Nov 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edith Devrnja, RN
Title
Chief Nursing Officer
Phone
(865) 777-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

9449 San Fernando Rd
Sun Valley, CA 91352-1421

Mailing address

9724 Kingston Pike Ste 208
Knoxville, TN 37922-3389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240223003512 CA Part B Supplier - Clinic/Group Practice 0345685889 Receives reassigned benefits from 11 practitioners
Practice locations: Sun Valley, CA

National Provider Directory

National Provider Directory

Locations

9724 Kingston Pike
Ste 208
Knoxville, TN 37922
Phone (865) 777-1300

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1003681693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE STE 208",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521421",
            "telephone_number": "865-777-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERX PLUS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-24",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "DEVRNJA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "CHIEF NURSING OFFICER",
        "authorized_official_telephone_number": "865-777-1300",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.