| Erickson Health Medical Group Of North Carolina, Pc | |
|
2030 Windsor Run Lane Matthews NC 28105 | |
| (410) 402-2258 | |
| (410) 204-7279 |
| Full Name | Erickson Health Medical Group Of North Carolina, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2030 Windsor Run Lane, Matthews, North Carolina |
| Authorized Official Name and Position | Matthew J Narrett (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4104022220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Health Medical Group Of North Carolina, Pc 5730 Executive Dr Ste 230 Catonsville MD 21228-1762 Ph: (704) 443-6250 | Erickson Health Medical Group Of North Carolina, Pc 2030 Windsor Run Lane Matthews NC 28105 Ph: (410) 402-2258 |
| NPI Number | 1396241030 |
|---|---|
| Provider Enumeration Date | 04/02/2018 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 6406104165 |
|---|---|
| Medicare Enrollment ID | O20180813001579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396241030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Neema Hooker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457747842 PECOS PAC ID: 7113207457 Enrollment ID: I20180825000023 |
| Provider Name | Ida M Lim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013409051 PECOS PAC ID: 2961802467 Enrollment ID: I20210621000073 |
| Provider Name | Clay Corpening Ijams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154033736 PECOS PAC ID: 7012388507 Enrollment ID: I20230119002610 |
| Provider Name | Kimberly D Hunkele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386642270 PECOS PAC ID: 1850291519 Enrollment ID: I20230908003622 |
| Provider Name | Luanne Imholt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093234049 PECOS PAC ID: 3375991987 Enrollment ID: I20231120003428 |
| Provider Name | Kathryn Seward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205217296 PECOS PAC ID: 8022379981 Enrollment ID: I20241015003446 |
| Provider Name | Shaveta Kotwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841492733 PECOS PAC ID: 2163588500 Enrollment ID: I20241205000943 |
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