Eric Hermansen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0050295 Issued in MD

Practice address

316 Railroad Ave
Goldsboro, MD 21636-1126

Phone

(410) 634-2380

Fax

(833) 908-2287

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Internal MedicineAlso: Family Practice

Education

Saint Louis University School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Choptank Community Health System IncGroup PAC ID 0648189274, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
• University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030
• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.hermansen.1@20853.direct.athenahealth.com

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.

• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Denton, MD
  • NPI 1356388599

  MD

  Medicare reassignment Care Compare group NPD
• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Federalsburg, MD
  • NPI 1306678537
  NPD
• Chester Walk-in Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Chester, MD
  • NPI 1598795510
  NPD (past)
• Choptank Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • St Michaels, MD
  • NPI 1679790299
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Maryland LLC

  • Home Health Agency
  • Cambridge, MD
  • NPI 1811982069
  Care Compare affiliation Name & address match
• Chester River Hospital Center

  • General Acute Care Hospital
  • Chestertown, MD
  • NPI 1679536809

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219

  Hospital

  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1154412450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 RAILROAD AVE",
            "city": "GOLDSBORO",
            "state": "MD",
            "postal_code": "216361126",
            "telephone_number": "410-634-2380",
            "fax_number": "833-908-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 RAILROAD AVE",
            "city": "GOLDSBORO",
            "state": "MD",
            "postal_code": "216361126",
            "telephone_number": "410-634-2380",
            "fax_number": "833-908-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANSEN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie L Dove, RDH
• Thomas Griffith Duncan Jr., DDS
• Marcela Maria Flores Amador, DDS
• Lindsay Michelle Freedman, DDS
• Raenelle Lynn Griffin, PA-C
• Gregory A Holmes, M.D.
• Patricia Jean Karnes-Amzibel, DO
• Marleigh Ann Korell, RDH
• Cathy Jane Miller, LAC
• Melinda Payton, CRNP

• All providers in Goldsboro, MD
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.