Active NPI
Eric Lager, M.D.
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1023170743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 006433E
- Practice address
- 2400 Chestnut St
3302
Philadelphia, PA 19103-4316 - Phone
- (215) 665-1867
- NPI assigned
- Dec 16, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 006433E | PA | Primary |
Addresses
Primary practice location
2400 Chestnut St
3302
Philadelphia, PA 19103-4316
Mailing address
2400 Chestnut St
3302
Philadelphia, PA 19103-4316
Phone (215) 665-1867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00560032000 | Other | PA | BLUE CROSS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006433E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1023170743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 CHESTNUT ST",
"address_2": "3302",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034316",
"telephone_number": "215-665-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CHESTNUT ST",
"address_2": "3302",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191034316",
"telephone_number": "215-665-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGER",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-16",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "006433E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00560032000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.