Active NPI
Erick L Bishop
- Case Manager/Care Coordinator
- Springfield, OH
National Provider Identifier
1013407220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CDCA.070523
- Practice address
- 2624 Lexington Ave
Springfield, OH 45505-2607 - Phone
- (937) 328-5300
- Fax
- (937) 322-4900
- NPI assigned
- May 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CDCA.070523 | OH | Primary |
Addresses
Primary practice location
2624 Lexington Ave
Springfield, OH 45505-2607
Mailing address
2624 Lexington Ave
Springfield, OH 45505-2607
Phone (937) 328-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.070523 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1013407220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 LEXINGTON AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052607",
"telephone_number": "937-328-5300",
"fax_number": "937-322-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 LEXINGTON AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052607",
"telephone_number": "937-328-5300",
"fax_number": "937-322-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "ERICK",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-14",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "CDCA.070523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.