Paul N Erckman MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

16277 Issued in NC

Legal business name

PAUL N ERCKMAN MD

Doing business as

Monroe Childrens Center

Practice address

1307B East Franklin St
Monroe, NC 28112

Phone

(704) 289-2556

Fax

(704) 282-1282

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul N Erckman, M.D.

Title

Owner Physician

Phone

(704) 289-2556

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Monroe Childrens Center Doing business as

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1184677635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307B EAST FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28112",
            "telephone_number": "704-289-2556",
            "fax_number": "704-282-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307B EAST FRANKLIN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "28112",
            "telephone_number": "704-289-2556",
            "fax_number": "704-282-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL N ERCKMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "ERCKMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "704-289-2556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "16277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8930740",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30740",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4491873",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "249124",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "N16277",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Childrens Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shi'Vonna Patteson
• Rachel Jill Patton, LCAS
• Steven Russell Patty, DDS, PA
• Rajiv Paudel, MD
• Paul J Keane DPM
• Whitney Lane Pawlowski, MA, LPC
• Quinn Emerson Payne, PA-C
• Peaceful Soul Counseling and Group Therapy
• Caroline Pearce
• Pediatric and Family Behavioral Health, PLLC

• Pediatrics Physician in Monroe, NC
• Providers in Monroe, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.