Eric Hermansen (NPI# 1154412450, PAC ID# 7719988245) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154412450 |
| PAC ID by PECOS | 7719988245 |
| Professional Enrollment ID | I20070125000122 |
| Full Name | Eric Hermansen |
| Organization Legal Name | CHOPTANK COMMUNITY HEALTH SYSTEM INC |
| Address |
316 Railroad Ave Goldsboro MD 21636-1126 |
| Phone Number | 4106342380 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 0648189274 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210037 | UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON |
| 210030 | UNIVERSITY OF MD SHORE MEDICAL CTR AT CHESTERTOWN |
| 080004 | BAYHEALTH HOSPITAL, KENT CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 316 Railroad Ave, Goldsboro, MD 21636-1126 | 4106342380 | CHOPTANK COMMUNITY HEALTH SYSTEM INC |
| Organization Legal Name | CHOPTANK COMMUNITY HEALTH SYSTEM INC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasmine Nicole Jordan | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Timothy Kummerling | Nurse Practitioner | Choptank Community Health System Inc | 933 S Talbot St Unit, 4 Bay Hundred Health Center, St Michaels, MD 21663-2633 |
| Lisa D Urban | Pediatric Medicine | Choptank Community Health System Inc | 609 Daffin Ln, Denton, MD 21629-1392 |
| Lindsay Young | Nurse Practitioner | Choptank Community Health System Inc | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 |
| Patricia Karnes-amzibel | Family Medicine | Choptank Community Health System Inc | 316 Railroad Ave, Goldsboro, MD 21636-1126 |
| Christine Lynn Durham-pressley | Nurse Practitioner | Choptank Community Health System Inc | 215 Bloomingdale Ave, Federalsburg, MD 21632-1012 |
| Douglas J Hamsher | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Elizabeth Anne Buckshaw | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Christina M Bartz | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Kimberly L Fitzgerald | Nurse Practitioner | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Street Address |
316 RAILROAD AVE |
| City | GOLDSBORO |
| State | MD |
| Zip | 21636-1126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Karnes-amzibel | Family Medicine | Choptank Community Health System Inc | 316 Railroad Ave, Goldsboro, MD 21636-1126 |
| Melinda K Payton | Nurse Practitioner | Choptank Community Health System Inc | 316 Railroad Ave, Goldsboro, MD 21636-1126 |
| City | GOLDSBORO |
| Zip Code | 21636 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GOLDSBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Eric Hermansen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.