MEDICARE: ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician
3	213E00000X	Podiatrist
4	363LF0000X	Family Nurse Practitioner
5	363L00000X	Nurse Practitioner
6	363LG0600X	Gerontology Nurse Practitioner
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
8	363LA2200X	Adult Health Nurse Practitioner
9	207QG0300X	Geriatric Medicine (Family Medicine) Physician
10	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1518830611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC

Provider Business Mailing Address
First Line	:	5730 EXECUTIVE DR STE 230
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-1762
Country	:	US
Telephone Number	:	301-272-9830
Fax Number	:

Provider Business Practice Location Address
First Line	:	7051 ROCKLEDGE DR
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1680
Country	:	US
Telephone Number	:	301-272-9830
Fax Number	:	301-272-9840

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	MATTHEW JOSHUA NARRETT
Credential	:	MD
Telephone Number	:	410-402-2220

Provider Enumeration Date	:	09/25/2025
Last Update Date	:	09/25/2025

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