Individual provider Active NPI

Jonathan Erich, M.D.

  • Obstetrics & Gynecology Physician
  • Vancouver, WA
National Provider Identifier
1093789596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00036733 Issued in WA
Practice address
Legacy Salmon Creek Hospital - Family Birth Center
2211 N.E. 139TH Street
Vancouver, WA 98686
Phone
(360) 487-4295
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00036733 WA Primary
Obstetrics & Gynecology Physician 207V00000X 16555 OR
Obstetrics & Gynecology Physician 207V00000X G 51001 CA
Obstetrics & Gynecology Physician 207V00000X MD R2K47 MO
Obstetrics & Gynecology Physician 207V00000X 003-036-073559-01 IL
Obstetrics & Gynecology Physician 207V00000X 43099-020 WI
Obstetrics & Gynecology Physician 207V00000X 8679 MT
Obstetrics & Gynecology Physician 207V00000X M-895 GU

Addresses

Primary practice location

Legacy Salmon Creek Hospital - Family Birth Center
2211 N.E. 139TH Street
Vancouver, WA 98686

Mailing address

Legacy Salmon Creek Hospital - Family Birth Center
2211 N.E. 139TH Street
Vancouver, WA 98686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041119000264 WA Practitioner - Obstetrics/Gynecology 1153385018 Reassigns benefits to 1 organization
I20060131000539 OR Practitioner - Obstetrics/Gynecology 1153385018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G 51001CAMDObstetrics & Gynecology Physician
M-895GUMDObstetrics & Gynecology Physician
003-036-073559-01ILMDObstetrics & Gynecology Physician
MD R2K47MOMDObstetrics & Gynecology Physician
8679MTMDObstetrics & Gynecology Physician
16555ORMDObstetrics & Gynecology Physician
43099-020WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Clinics LLC CurrentSince Jul 15, 2015 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 15, 2015 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Aug 22, 2005 Accepting new patients
Legacy Salmon Creek Hospital Obstetrics & Gynecology CurrentSince Aug 22, 2005 Accepting new patients

Locations

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: jerich4275@direct.lhs.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093789596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LEGACY SALMON CREEK HOSPITAL - FAMILY BIRTH CENTER",
            "address_2": "2211 N.E. 139TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEGACY SALMON CREEK HOSPITAL - FAMILY BIRTH CENTER",
            "address_2": "2211 N.E. 139TH STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686",
            "telephone_number": "360-487-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICH",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00036733",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "16555",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G 51001",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "MD R2K47",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "003-036-073559-01",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "43099-020",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "8679",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GU",
            "license": "M-895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.