DR. ERIC HERMANSEN

Address: 316 Railroad Ave, Goldsboro, MD 21636-1126
Phone: 4106342380

DR. ERIC HERMANSEN (NPI# 1154412450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154412450
Entity Type 1 - Individual
Full Name DR. ERIC HERMANSEN
Credential MD
Practice Address 316 Railroad Ave
Goldsboro
MD 21636-1126
Mailing Address 301 Randolph St
Denton
MD 21629-1243
Practice Telephone 4106342380
Practice Fax Number 4104827488
Mailing Telephone 4104794306
Mailing Fax Number 4104791714
Enumeration Date 09/28/2006
Last Update Date 07/01/2008
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine D0050295 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD INFORMED 521116591 01
MD OPTIMUM CHOICE MDIPA 8165984 01
MD 784381000 05
MD CF BC BS GRP GHMSI BL CHO T5880039 01
MD COVENTRY 446027 01
MD CIGNA 521116591 01
MD TRICARE 521116591 01
MD CAREFIRST BC BS RENDERING 54795104 01
MD CAREFIRST BC BS POS P17422 01
MD AETNA 4008103 01
MD PRIORITY PARTNERS 011373 01
MD MARYLAND PHYSICIANS CARE 521116591 01
MD NCPPO 499726 01

Office Location

Street Address 316 RAILROAD AVE
City GOLDSBORO
State MD
Zip Code 21636-1126

Providers with the same location

NPI Name Address
1043285208 DR. PATRICIA JEAN KARNES-AMZIBEL 316 Railroad Ave, Goldsboro, MD 21636
1346337771 MRS. BARBARA LOUISE STANTON 316 Railroad Ave, Goldsboro, MD 21636-1126
1053538678 CHOPTANK COMMUNITY HEALTH SYSTEM, INC. 316 Railroad Ave, Goldsboro, MD 21636-0122
1124222369 THOMAS GRIFFITH DUNCAN JR. 316 Railroad Ave, Goldsboro, MD 21636
1568659969 MRS. RAENELLE LYNN GRIFFIN 316 Railroad Ave, Goldsboro, MD 21636-1126
1912133414 JOSEPH G CURTIS 316 Railroad Ave, Goldsboro, MD 21636-1126
1881910701 MARY ELLEN CALDWELL 316 Railroad Ave, Goldsboro, MD 21636
1518264415 DR. YIYA ZHOU 316 Railroad Ave, Goldsboro, MD 21636-1126
1770822348 MR. PETER MALCOLM STANFORD 316 Railroad Ave, Goldsboro, MD 21636-1126
1548797376 MACKENZIE SCOFIELD 316 Railroad Ave, Goldsboro, MD 21636-1126

Competitor

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City GOLDSBORO
Zip Code 21636

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.