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NPI Code Detail

MEDICARE: DR. JOHN MJ ERNST MD

MEDICARE: DR. JOHN MJ ERNST MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician11777SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00614933OTHERSCRAILROAD MEDICARE
3P00727260OTHERSCRAILROAD MEDICARE ID-RSFPN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619902905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MJ ERNST MD
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 843-958-2500
Fax Number : 843-958-2680
Provider Business Practice Location Address
First Line : 2093 HENRY TECKLENBURG DR STE 200E
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5742
Country : US
Telephone Number : 843-958-2500
Fax Number : 843-958-2680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 11/26/2022

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