Provider Demographics
NPI:1821285727
Name:ERNSPIKER, ERICH L (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICH
Middle Name:L
Last Name:ERNSPIKER
Suffix:
Gender:M
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:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-0432
Mailing Address - Country:US
Mailing Address - Phone:606-430-2202
Mailing Address - Fax:606-218-7502
Practice Address - Street 1:280 VIRGINIA AVE NE
Practice Address - Street 2:SUITE 4
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1538
Practice Address - Country:US
Practice Address - Phone:276-679-2310
Practice Address - Fax:276-679-8460
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42548208600000X
VA0101254580208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY622640OtherANTHEM
KY65930364Medicaid
KY7100078780Medicaid
KY622640OtherANTHEM
KY65930364Medicaid