DR. MARK ERICH (NPI# 1356420871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356420871 |
| Entity Type | Individual |
| Full Name | DR. MARK ERICH |
| Credential | M.D. |
| Practice Address |
631 Venning St Mc Clellanville SC 29458-9710 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8438873344 |
| Practice Fax Number | 8438879811 |
| Mailing Telephone | (843) 789-1620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 22248 | SC | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 22248 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | T63703 | 05 | |
| SC | MEDICARE PTAN | E552879223 | 01 |
| SC | RAILROAD MEDICARE ID- RSFPN | P00946932 | 01 |
| Street Address |
631 VENNING ST |
| City | MC CLELLANVILLE |
| State | SC |
| Zip Code | 29458-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012904 | Roper Saint Francis Physicians Network | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458 | 2014-04-05 |
| 1598830598 | James E. Fulcher | Family Medicine | 631 Venning St, Mc Clellanville, SC 29458-0699 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588061865 | Debra Elizabeth Erich | Nurse Practitioner | 580 Romain Road, Mcclellanville, SC 29458 | 2014-12-02 |
| 1558480764 | Sandra Reid Bigelow | Dentist | 832 Pinckney St., Mcclellanville, SC 29458 | 2007-03-28 |
| 1578620084 | Mcclellanville Pharmacy Inc. | Pharmacy | 10035 Highway 17 North, Mcclellanville, SC 29458 | 2007-01-03 |
| 1750320305 | Joseph Deer Thomas Jr. | Emergency Medicine | 606 R Pinckney Street, Mc Clellanville, SC 29458 | 2006-06-06 |
| 1073684585 | Patricia A Quinlan | Nurse Practitioner | 1189 Tibwin Road, Mcclelanville, SC 29458 | 2006-11-13 |
| 1457416687 | Gail J Guzzo | Pharmacist | 815 Pinckney Street, Mcclellanville, SC 29458-0368 | 2006-12-27 |
| 1366767683 | St. James-santee Family Health Center Inc. | Clinic/Center | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2010-03-30 |
| 1467897157 | Isla Ruth Merritt | Registered Nurse | 8900 N Highway 17, Mc Clellanville, SC 29458-7408 | 2013-05-08 |
| 1588618441 | St. James-santee Family Health Center Inc. | Clinic/Center | 1189 Tibwin Rd, Mc Clellanville, SC 29458-9405 | 2006-05-22 |
| 1790776722 | Jane M Cooper | Nurse Practitioner | 1189 Tibwin Road, Mcclellanville, SC 29458-9405 | 2005-10-31 |
| Find all providers in zip 29458 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912253 | Life Essentials Health Center LLC | General Practice | 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464-3342 | 2020-11-04 |
| 1710591706 | Madhuri Khadka | General Practice | 427 Galbreath Ct, Fort Mill, SC 29708-0176 | 2020-09-07 |
| 1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
| 1790138014 | Beaufort-jasper-hampton Comprehensive Health Services Inc. | General Practice | 2210-b Mossy Oaks Rd., Port Royal, SC 29935-1046 | 2016-07-21 |
| 1659726438 | Inspire Medical Services | General Practice | 104 Berkeley Square Ln, Ste 63, Goose Creek, SC 29445-2958 | 2016-04-28 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| Find all providers with the same taxonomy | ||||
| City | MC CLELLANVILLE |
| Zip Code | 29458 |
Please comment or provide details below to improve the information on DR. MARK ERICH.
| 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.