ERIC AHLSTROM (NPI# 1770974826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770974826 |
| Entity Type | Individual |
| Full Name | ERIC AHLSTROM |
| Credential | M.D. |
| Practice Address |
110 Irving St Nw Washington DC 20010 |
| Mailing Address |
110 Irving St Nw Washington DC 20010-3017 |
| Practice Telephone | 2028777000 |
| Mailing Telephone | 2028777000 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4301108169 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD046464 | DC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Irving St Nw, Washington, DC 20010 | 2028777000 |
| Street Address |
110 IRVING ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567012 | Autumn C Graham | Emergency Medicine | 110 Irving St Nw, Washington, DC 20010-2976 | 2005-06-13 |
| 1730780891 | Elizabeth Ann Maggio | Occupational Therapist | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-11-05 |
| 1811597347 | Elissa Newman | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-26 |
| 1649879545 | Lisa Marie Shine | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-21 |
| 1629676002 | Tiffany Laura Weekes | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-16 |
| 1508463910 | Liane Okada | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1548867948 | Joseph Griffin Rebideaux | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1033716311 | Chi Wing Pang | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1023615333 | Theresa Howard | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1003423385 | Gladys Tombise Ekema | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780056168 | M Medical Group, Inc. | Internal Medicine | 4806 U St Nw, Washington, DC 20007-1546 | 2015-10-26 |
| 1376772996 | Gavin Williams Ford | Internal Medicine | 3423 Oakwood Ter Nw Apt 3a, Washington, DC 20010 | 2009-07-02 |
| 1700011632 | Rebecca Krochmal | Internal Medicine | 3800 Reservoir Rd Nw Ste M4200, Washington, DC 20007-2113 | 2009-05-21 |
| 1962636514 | Andrew Daniel Lerner | Internal Medicine | 5215 Loughboro Rd Nw Ste 420, Washington, DC 20016-2627 | 2009-05-12 |
| 1477613958 | Lawrence S. Lepler | Internal Medicine | 2 Wramc Rm 2j38, 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-12-12 |
| 1689022824 | Mariam Ali Abdelkader | Internal Medicine | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2016-05-27 |
| 1518351444 | Daniel Robert King | Internal Medicine | 2150 Pennsylvania Ave Nw, Washington, DC 20037 | 2015-03-28 |
| 1063828531 | Mohammed Nabeel | Internal Medicine | 110 Irving St Nw Ste 2a38m, Washington, DC 20010-3017 | 2014-07-06 |
| 1376973362 | Anacostia Medical Associates | Internal Medicine | 4601 Martin Luther King Jr Ave Sw, Washington, DC 20032-1131 | 2013-11-12 |
| 1154753564 | Adad Complex Medical | Internal Medicine | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2013-08-07 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on ERIC AHLSTROM.
| 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.