Individual provider Active NPI

William Ervin I, M.D., FACEP

  • Emergency Medicine Physician
  • Manakin Sabot, VA
National Provider Identifier
1497772016
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101034662 Issued in VA
Practice address
7 Quail Run Dr
Manakin Sabot, VA 23103-2615
Phone
(804) 784-4614
NPI assigned
Jul 17, 2006
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101034662 VA Primary
Emergency Medicine Physician 207P00000X 46824 KY
Emergency Medicine Physician 207P00000X MD2013-0607 NM
Emergency Medicine Physician 207P00000X MD169795 OR
Emergency Medicine Physician 207P00000X 60770-20 WI

Addresses

Primary practice location

7 Quail Run Dr
Manakin Sabot, VA 23103-2615

Mailing address

7 Quail Run Dr
Manakin Sabot, VA 23103-2615
Phone (804) 784-4614

Other names 1

  • William Ervin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2013-0607NMMDEmergency Medicine Physician
MD169795ORMDEmergency Medicine Physician
60770-20WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Current Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1497772016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 QUAIL RUN DR",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032615",
            "telephone_number": "804-784-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 QUAIL RUN DR",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032615",
            "telephone_number": "804-784-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D., FACEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101034662",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "46824",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD2013-0607",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD169795",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "60770-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "ERVIN",
            "credential": "M.D., FACEP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manakin Sabot, VA

Sources for this page

Verify at the official NPI Registry.