Gary Paul Erdy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35049219 Issued in OH

Practice address

214 Elm St
London, OH 43140-2173

Phone

(740) 845-4100

NPI assigned

Nov 28, 2006

Last updated

Feb 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy and Asthma Center, Inc

  • Allergy & Immunology Physician
  • Wilmington, OH
  • NPI 1104913417
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1053487108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431402173",
            "telephone_number": "740-845-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431402173",
            "telephone_number": "740-845-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDY",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01040231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072641",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094310",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adeleye A. Edon, DO
• Amber Renee Eiting, APRN-CNP
• Robert Phillip Eldridge, LISW
• Elixir Physical Therapy LLC (StepUp Rehab)
• Michael English
• Nijmah O Etayem
• Jack L Ewan, O.D.
• David Allen Fairchild, R.PH.
• Family Dental Care - Joseph Yong DDS LLC
• Family Dental Care at Eagleton Center

• Family Medicine Physician in London, OH
• Providers in London, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.