Erickson Employee Health and Wellness Center PC

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

Legal business name

ERICKSON EMPLOYEE HEALTH AND WELLNESS CENTER PC

Practice address

3160 Gracefield Rd
Silver Spring, MD 20904-1986

Phone

(443) 883-4652

Fax

(443) 883-4933

NPI assigned

Oct 16, 2007

Last updated

Nov 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew J. Narrett, MD

Title

Executive VP, Cmo

Phone

(410) 402-2261

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1669661575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MAIDEN CHOICE LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285968",
            "telephone_number": "410-402-2261",
            "fax_number": "410-402-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 GRACEFIELD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041986",
            "telephone_number": "443-883-4652",
            "fax_number": "443-883-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON EMPLOYEE HEALTH AND WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "NARRETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE VP, CMO",
        "authorized_official_telephone_number": "410-402-2261",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "26573538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Occupational Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.