Basic Information
| Provider Information | |||||||||
| NPI: | 1609868983 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EMANUEL | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1227 MASSACHUSETTS AVE SE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200031499 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014772000 | ||||||||
| FaxNumber: | 3014742389 | ||||||||
| Practice Location | |||||||||
| Address1: | 7500 GREENWAY CENTER DR | ||||||||
| Address2: | 8TH FLOOR | ||||||||
| City: | GREENBELT | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207703502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014772000 | ||||||||
| FaxNumber: | 3014742389 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2005 | ||||||||
| LastUpdateDate: | 04/14/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/14/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | MD31646 | DC | N | Allopathic & Osteopathic Physicians | Urology | 208800000X | D0054719 | MD | Y | Allopathic & Osteopathic Physicians | Urology |
ID Information
| ID | Type | State | Issuer | Description | 023307 | 01 | PRIORITY PARTNERS | OTHER | 371133 | 01 | OPTIMUM CHOICE | OTHER | 5792787 | 01 | AETNA PPO | OTHER | P00439847 | 01 | RAILROAD MEDICARE | OTHER | 1470675 | 01 | AETNA HMO | OTHER | 4520989 | 01 | CIGNA | OTHER | 1901965 | 01 | UNITED HEALTHCARE AMERICHOICE | OTHER | 023307 | 01 | JOHN HOPKINS | OTHER | 432105237 | 01 | BRAVO HEALTH | OTHER | 57620002 | 01 | BCBS DC | OTHER | 88146705 | 01 | BCBS MD | OTHER |