Provider Demographics
NPI:1184615536
Name:ROSKES, ERIK JORDAN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:JORDAN
Last Name:ROSKES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6655 SYKESVILLE ROAD
Mailing Address - Street 2:SPRINGFIELD HOSPITAL CENTER
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7966
Mailing Address - Country:US
Mailing Address - Phone:410-970-7102
Mailing Address - Fax:410-970-7105
Practice Address - Street 1:6655 SYKESVILLE RD
Practice Address - Street 2:SPRINGFIELD HOSPITAL CENTER
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-7966
Practice Address - Country:US
Practice Address - Phone:410-970-7102
Practice Address - Fax:410-970-7105
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD424592084F0202X, 2084P0800X
NY2300332084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD76081-1000Medicaid
MD76081-1000Medicaid