Provider Demographics
NPI:1699863746
Name:ERBLAND, MARCIA LOUISE (MD)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:LOUISE
Last Name:ERBLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4316
Mailing Address - Country:US
Mailing Address - Phone:501-202-6510
Mailing Address - Fax:501-202-6316
Practice Address - Street 1:9601 BAPTIST HEALTH DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6321
Practice Address - Country:US
Practice Address - Phone:501-202-6510
Practice Address - Fax:501-202-6316
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-3594207RC0200X, 207RP1001X
ARR3594207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR50971OtherBCBS
AR110069006OtherRAILROAD MEDICARE
ARR3594OtherCHAMPUS
AR112886001Medicaid
AR1173600000000OtherQUALCHOICE
ARR3594OtherCHAMPUS
B90056Medicare UPIN