Organization Active NPI

Ellicott City Womens Health

  • Gynecology Physician
  • Ellicott City, MD
National Provider Identifier
1104785294
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ELLICOTT CITY WOMENS HEALTH
Practice address
11089 Resort Rd Ste 204
Ellicott City, MD 21042-2073
Phone
(410) 696-1388
Fax
(410) 696-1386
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Erika Nichelson, DONPI 1750499711
Title
Ceo
Phone
(410) 696-1388

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

11089 Resort Rd Ste 204
Ellicott City, MD 21042-2073

Mailing address

11089 Resort Rd Ste 204
Ellicott City, MD 21042-2073
Phone (410) 696-1388

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2340036Ellicott City Womens Health LLC11089 Resort Rd 20, Ellicott City, MD 21042Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

11089 Resort Rd
Ste 204
Ellicott City, MD 21042
Phone (410) 696-1388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1104785294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11089 RESORT RD STE 204",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422073",
            "telephone_number": "410-696-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11089 RESORT RD STE 204",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422073",
            "telephone_number": "410-696-1388",
            "fax_number": "410-696-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLICOTT CITY WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "NICHELSON",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-696-1388",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.