Provider Demographics
NPI:1205963709
Name:KOCHERT, ERIK IAN (MD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:IAN
Last Name:KOCHERT
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 1:111 S FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2010
Mailing Address - Country:US
Mailing Address - Phone:717-231-8900
Mailing Address - Fax:717-782-5716
Practice Address - Street 1:111 S FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101
Practice Address - Country:US
Practice Address - Phone:717-988-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC7-0003466207P00000X
PAMD435383207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20091038OtherAMERIHEALTH MERCY-YH
PA269308OtherUNISON-YH
PA2082497OtherHIGHMARK BLUE SHIELD
PA102211670Medicaid
PA1582459OtherGATEWAY-WMG
PA2082497OtherHIGHMARK BLUE SHIELD
PA20091038OtherAMERIHEALTH MERCY-YH