Erx Plus Professional Corporation
Organization Active NPI Emergency Medicine Physician · Mariposa, CA
NPI 1336508407 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1336508407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ERX PLUS PROFESSIONAL CORPORATION
- Practice address
- 5189 Hospital Rd
Mariposa, CA 95338-9524 - Phone
- (865) 777-1300
- Fax
- (865) 777-1929
- NPI assigned
- Feb 18, 2016
- Organization subpart
- No
Authorized official
- Name
- Edith Devrnja
- Title
- Administrator/Owner
- Phone
- (865) 777-1300
Practitioners 43
-
Michael A Ali, M.D.
-
Clayton Benson, M.D.
-
Andrew Bourgeois, M.D.
-
Evan Chisum, MD
-
William S. Clark, DO
-
Dominic T Dizon, M.D.
-
David A Grundy, MD
-
Leena K Gupta, MD
-
Lenley Bradford Jackson, M.D.
-
Kevin S Maxwell, MD
-
Khalid Medani, M.D.
-
Joshua Minyard, MD
-
Tony M. Ohn, M.D.
-
Rebecca Samet, M.D
-
Salah A. Sherif, M.D.
-
Mohammed S Akram, MD, MHA
-
Jacob Sung Sik Keum, D.O.
-
Adam M Leight, M.D.
-
Francois Phancao, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220928003168 | CA | Part B Supplier - Clinic/Group Practice | 6800192428 |
Receives reassigned benefits from 29 practitioners Practice locations: Mariposa, CA |
National Provider Directory
Locations
9724 Kingston Pike
Ste 1300
Knoxville, TN 37922
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
5189 Hospital Rd
Mariposa, CA 95338-9524
Mailing address
9724 Kingston Pike Ste 208
Knoxville, TN 37922-3389
Phone (865) 777-1300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | edie@erxgroup.net | Direct | |
| CONNECT URL | edie@erxgroup.net | Direct |
Other providers in Mariposa, CA
- Christine L Doss
- Lorena Dowling
- Debbie J Drennon
- Stephanie Dumford
- Erx Hospitalist of California
- Matthew Ray Evans
- Evergreen Counseling
- Evergreen Marriage and Family Counseling Services, Corp.
- Marti Fazio
- Cinnamon Fleener
All providers in Mariposa, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.