Provider Demographics
NPI:1114135126
Name:JAMES, ERICA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:MICHELLE
Last Name:JAMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 PARK LN APT 405
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1755
Mailing Address - Country:US
Mailing Address - Phone:813-317-1740
Mailing Address - Fax:
Practice Address - Street 1:10510 PARK LN APT 405
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1755
Practice Address - Country:US
Practice Address - Phone:813-317-1740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96117207Q00000X
OH090836207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine