William Ervin I, M.D., FACEP
Individual provider Active NPI Emergency Medicine Physician · Manakin Sabot, VA
NPI 1497772016 · NPPES record last updated Jan 3, 2017
Key facts
- NPI
- 1497772016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101034662 (VA)
- Practice address
- 7 Quail Run Dr
Manakin Sabot, VA 23103-2615 - Phone
- (804) 784-4614
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2013-0607 | NM | MD | Emergency Medicine Physician |
| MD169795 | OR | MD | Emergency Medicine Physician |
| 60770-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 |
| Columbia Healthcare of Central Virginia Inc | Past |
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 |
Locations
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101034662 | VA | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005855560 | Medicaid | VA | |
| 005855594 | Medicaid | VA | |
| 005809967 | Medicaid | VA | |
| 005810051 | Medicaid | VA | |
| 005855578 | Medicaid | VA |
Other names
- William Ervin
Other providers in Manakin Sabot, VA
- Gabrielle Defazio
- Jennifer M Dickerson
- Stephanie Dodd
- Dr.Peter Guhl
- Emilie Bonovitch Ellis
- Family Care Services, LLC
- Family Chiropractic Center of Richmond, LLC
- Linda Fletcher
- Nicole Jeanette Galletta
- Stephen Eric Glick
All providers in Manakin Sabot, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.