Organization
ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC
Active
Other names
Riderwood Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J NARRETT M.D. (SENIOR VP AND CHIEF MEDICAL OFFICER)
(410) 402-2257
Entity
Organization
Contact information
Practice address
3110 GRACEFIELD RD, SILVER SPRING, MD 20904-1820
(301) 572-8340
(301) 572-8403
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(301) 572-8340
(301) 572-8403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
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
01
—
0008
CAREFIRST BCBS
—
05
—
008203102
—
MD
01
—
04-04109
EVERCARE
—
01
—
0943-SE-881489-01
BCBS OF MD
—
01
—
138CSE
BCBS MD
—
05
—
400550300
—
MD
01
—
42455801
BCBS MD
—
01
—
9680-0059
BCBS OF DC
—
01
—
T016
BCBS DC
—
Enumeration date
07/20/2006
Last updated
11/13/2023
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