Organization Active NPI

Erdman ENT, PC

  • Otolaryngology Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1376932327
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35251 Issued in GA
Legal business name
ERDMAN ENT, PC
Practice address
140 Battlewood Dr
Fort Oglethorpe, GA 30742-4006
Phone
(706) 861-7070
Fax
(706) 861-7050
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. John P Erdman, M.D.NPI 1245220128
Title
Owner/Physician
Phone
(706) 861-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 35251 GA Primary

Addresses

Primary practice location

140 Battlewood Dr
Fort Oglethorpe, GA 30742-4006

Mailing address

140 Battlewood Dr
Fort Oglethorpe, GA 30742-4006
Phone (706) 861-7070

National Provider Directory

National Provider Directory

Locations

140 Battlewood Dr
Ft Oglethorpe, GA 30742
Phone (706) 861-7070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1376932327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BATTLEWOOD DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424006",
            "telephone_number": "706-861-7070",
            "fax_number": "706-861-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BATTLEWOOD DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424006",
            "telephone_number": "706-861-7070",
            "fax_number": "706-861-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERDMAN ENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "ERDMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "706-861-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "35251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.