Organization Active NPI

Edward L. Erb, D.O.

  • Vascular Surgery Physician
  • Dayton, OH
National Provider Identifier
1023135340
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
34006491 Issued in OH
Legal business name
EDWARD L. ERB, D.O.
Practice address
5450 Far Hills Ave
Suite201
Dayton, OH 45429-2386
Phone
(937) 291-0657
Fax
(937) 291-0775
NPI assigned
Mar 23, 2007
Last updated
May 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Dr. Edward L Erb, D.O.NPI 1053313163
Title
Owner
Phone
(937) 223-7106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 34006491 OH Primary

Addresses

Primary practice location

5450 Far Hills Ave
Suite201
Dayton, OH 45429-2386

Mailing address

4345 Delco Dell Rd
Dayton, OH 45429-1210
Phone (937) 298-5333

Other identifiers 1

IdentifierTypeStateIssuer
2466120MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1023135340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 DELCO DELL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454291210",
            "telephone_number": "937-298-5333",
            "fax_number": "937-298-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FAR HILLS AVE",
            "address_2": "SUITE201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292386",
            "telephone_number": "937-291-0657",
            "fax_number": "937-291-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. ERB, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "ERB",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-223-7106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34006491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466120",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.