=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689718132
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIK M. KRUSHINSKI MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/17/2007
-----------------------------------------------------
Last Update Date | 02/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2800 WELLFORD ST STE 100
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22401-3176
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-373-4602
-----------------------------------------------------
Fax | 540-310-0100
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2800 WELLFORD ST STE 100
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22401-3176
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-373-4602
-----------------------------------------------------
Fax | 540-310-0100
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207XX0005X
-----------------------------------------------------
Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
-----------------------------------------------------
License Number | 0101242771
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------