Individual provider Active NPI

Victor M Erlich, PH.D., M.D.

  • Neurology Physician
  • Vancouver, WA
National Provider Identifier
1437191996
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD00026536 Issued in WA
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

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1060938MedicaidWA

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

LicenseStateTypeSpecialty
370WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.