MARY J ERICKSON (NPI# 1033270616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033270616 |
| Entity Type | Individual |
| Full Name | MARY J ERICKSON |
| Credential | MD |
| Practice Address |
1 Childrens Plz Dayton OH 45404-1898 |
| Mailing Address |
Po Box 751084 Dayton OH 45475-1084 |
| Practice Telephone | 9376413321 |
| Practice Fax Number | 9376414410 |
| Mailing Telephone | 9378530286 |
| Mailing Fax Number | 9378530292 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
35073493 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BCBS ANTHEM | 000000329156 | 01 |
| OH | 2132767 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1326306010 | Mary D Erickson | Counselor | 5223 21st Ave Ne, Seattle, WA 98105-3334 | 2012-05-01 |
| 1629243720 | Mary Erickson | Speech-Language Pathologist | 10089 Brandsteade Ct, Union, KY 41091-8669 | 2008-04-29 |
| 1700939386 | Mary Wanda Erickson | Occupational Therapist | 506 Roeder Cir, 88th Rrc Surgeon's Office, Fort Snelling, MN 55111-4017 | 2007-01-18 |
| 1962881235 | Mary Eloise Erickson | Internal Medicine | 701 Park Ave, Minneapolis, MN 55415-1623 | 2015-05-20 |
| 1033389499 | Mary Erickson | Speech-Language Pathologist | 1217 W Houston Ave, Mcallen, TX 78501-5012 | 2008-03-01 |
| 1619156387 | Mary Lou Erickson | Registered Nurse | 625 5th St, Santa Rosa, CA 95404-4428 | 2007-10-30 |
| 1104046796 | Mary Caroline Erickson | Marriage & Family Therapist | 3245 Fairview Ave E, Suite 310, Seattle, WA 98102-3053 | 2007-04-26 |
| 1740375468 | Mary Erickson | Nurse Practitioner | 1315 Macom Dr, Suite 005, Naperville, IL 60564-9358 | 2006-10-04 |
| 1467469627 | Mary C. Erickson | Pharmacist | 3111 Gunderson Rd, Onalaska, WI 54650-8447 | 2006-08-01 |
| Street Address |
1 CHILDRENS PLZ |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205997848 | John B Badcock | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1083776637 | Mark S Schaffer | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1558422162 | Daniel A Evans | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-13 |
| 1881755403 | Russell H Hackett | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1114089752 | Pinchas M Ovide | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1447311071 | Susan K Henry | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-13 |
| 1891857421 | William M Matre | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1700947314 | Dale G Evans | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-13 |
| 1043371693 | Raul Chabali | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-12-13 |
| 1770641821 | Dana L Drazner | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-04 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.