Healthcare Provider Details

I. General information

NPI: 1669448551
Provider Name (Legal Business Name): ERIKA H POEHM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 E DISCOVERY PKWY
BLOOMINGTON IN
47408-9059
US

IV. Provider business mailing address

2315 MYRTLE ST STE L90
ERIE PA
16502-4607
US

V. Phone/Fax

Practice location:
  • Phone: 812-353-5222
  • Fax: 812-353-5262
Mailing address:
  • Phone: 814-452-7575
  • Fax: 814-452-7574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number35. 087890
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35. 087890
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01069225A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number35. 087890
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01069225A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: