NPIMap

Organization Active NPI

Erx Plus Professional Corporation

  • Emergency Medicine Physician
  • Mariposa, CA
National Provider Identifier
1336508407
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 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
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Edith Devrnja
Title
Administrator/Owner
Phone
(865) 777-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

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 2

TypeEndpointUseAffiliation
CONNECT URL edie@erxgroup.net Direct
CONNECT URL edie@erxgroup.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928003168 CA Part B Supplier - Clinic/Group Practice 6800192428 Receives reassigned benefits from 29 practitioners
Practice locations: Mariposa, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1336508407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE STE 208",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223389",
            "telephone_number": "865-777-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 HOSPITAL RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "865-777-1300",
            "fax_number": "865-777-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERX PLUS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "DEVRNJA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "865-777-1300"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "edie@erxgroup.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5189 Hospital Rd",
            "city": "Mariposa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953389524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "edie@erxgroup.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5189 Hospital Rd",
            "city": "Mariposa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953389524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mariposa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.