Ervin Anthony, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101034362 Issued in VA

Practice address

10980 Buckley Hall Road
Building #5
Mathews, VA 23109-2310

Phone

(804) 725-9191

Fax

(804) 725-9120

NPI assigned

May 23, 2005

Last updated

May 31, 2019By 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

Practice roles

Locations

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.

• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)
• Tarpon Springs Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Tarpon Springs, FL
  • NPI 1568415370
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1114920253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 866",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "231090866",
            "telephone_number": "804-725-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10980 BUCKLEY HALL ROAD",
            "address_2": "BUILDING #5",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "231092310",
            "telephone_number": "804-725-9191",
            "fax_number": "804-725-9120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Medical Blvd",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342233964",
            "country_code": "US",
            "telephone_number": "800-476-7646 x2371",
            "fax_number": "919-382-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "ERVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME53345",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101034362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114920253",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049567100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Olatomi Akinola
• Ashley Murphy LMFT LLC (Seeds of Change Counseling)
• Aurora Counseling Services PLLC
• Aurora Family Services
• Diana Lynn Bandurco, RPH
• Sabra M Bellovin, MD

• Family Medicine Physician in Mathews, VA
• Providers in Mathews, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.