Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2196 | MA |
Y | 222Z00000X | Podiatrist | 2196 | MA |
N | 213EP1101X | Primary Podiatric Medicine | 2196 | MA |
N | 213ES0131X | Foot Surgery | 2196 | MA |
NPI | 1184636193 |
---|---|
Provider Name | Dr. John Burnett Erskine |
First Address | Springfield, MA 01102-8000 |
Second Address | Amherst, MA 01002-2751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 12/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0365670 | (05) | MA |
1613044 | CIGNA (01) | MA |
38972 | HEALTH NEW ENGLAND (01) | MA |
414250 | TUFTS (01) | MA |
5148524 | AETNA (01) | MA |
67279 | FALLON (01) | MA |
U60947 | (02) | |
Y71113 | BCBSMA (01) | MA |