Provider Demographics
NPI:1366593915
Name:ERB, GREGORY MARCUS (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:MARCUS
Last Name:ERB
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 1:15604 PINEHURST DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-8234
Mailing Address - Country:US
Mailing Address - Phone:913-728-2200
Mailing Address - Fax:
Practice Address - Street 1:15604 PINEHURST DR STE 2
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66007-8234
Practice Address - Country:US
Practice Address - Phone:913-728-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-34857207Q00000X
KS94-06448207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery