Active NPI
Victor M Erlich, PH.D., M.D.
- Neurology Physician
- Vancouver, WA
National Provider Identifier
1437191996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD00026536
- Practice address
- 505 NE 87TH Ave Ste 460
Vancouver, WA 98664-1965 - Phone
- (360) 514-7771
- Fax
- (360) 514-7769
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 370 | WI | |
| Neurology Physician | 2084N0400X | MD00026536 | WA | Primary |
Addresses
Primary practice location
505 NE 87TH Ave Ste 460
Vancouver, WA 98664-1965
Mailing address
1536 N 115TH St Ste 330
Seattle, WA 98133-8425
Phone (206) 365-0111
Other practice location 1
1536 N 115th St Ste 330
Seattle, WA 98133-8425
Phone (206) 365-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1060938 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 370 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marc Alan Kirschner, MD, PS | Past | Accepting new patients | |
| Alex D. Cooper, MD, PLLC | Neurology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Neurology Physician
- Seattle, WA
- NPI 1982832218
-
- Specialist
- Seattle, WA
- NPI 1154592194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1437191996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1536 N 115TH ST STE 330",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981338425",
"telephone_number": "206-365-0111",
"fax_number": "206-365-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 NE 87TH AVE STE 460",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641965",
"telephone_number": "360-514-7771",
"fax_number": "360-514-7769"
}
],
"practiceLocations": [
{
"address_1": "1536 N 115th St Ste 330",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981338425",
"country_code": "US",
"telephone_number": "206-365-0111",
"fax_number": "206-365-2980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERLICH",
"first_name": "VICTOR",
"middle_name": "M",
"credential": "PH.D., M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "370",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD00026536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1060938",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.