Organization
ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC
Active
Other names
Oak Crest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J NARRETT MD (SR. VP AND CHIEF MEDICAL OFFICER)
(410) 402-2257
Entity
Organization
Contact information
Practice address
8800 WALTHER BLVD, BALTIMORE, MD 21234-9001
(410) 882-3240
(410) 661-5093
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(410) 882-3240
(410) 661-5093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
213E00000X
Podiatrist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008203100
—
MD
01
—
KG01SE
BCBS OF MD
—
01
—
T016
BCBS DC
—
Enumeration date
07/20/2006
Last updated
08/10/2023
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