Provider Demographics
NPI:1710024252
Name:ENGLISH, ERIC MARTIN (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:MARTIN
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15621 GENITO ROAD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112
Mailing Address - Country:US
Mailing Address - Phone:804-739-4545
Mailing Address - Fax:
Practice Address - Street 1:7101 JAHNKE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-330-2000
Practice Address - Fax:804-323-8049
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046763207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005643988Medicaid
VA005631971Medicaid
VA005632145Medicaid
VA930001247Medicare ID - Type Unspecified
VA930001247Medicare PIN
VA005643988Medicaid
VA930001233Medicare PIN
VA019747V68Medicare PIN
VA080007208Medicare PIN
VA005632145Medicaid