GORDON TODD ERICKSON (NPI# 1194033530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194033530 |
| Entity Type | Individual |
| Full Name | GORDON TODD ERICKSON |
| Credential | PA |
| Practice Address |
5820 E 2nd St Casper WY 82609-4308 |
| Practice Telephone | 3072349037 |
| Practice Fax Number | 3072349042 |
| Mailing Telephone | 3072349037 |
| Mailing Fax Number | 3072349042 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2016-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 501 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5820 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip Code | 82609-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548425960 | Northstar Sleep Lab, LLC | Clinic/Center | 5820 E 2nd St, Casper, WY 82609-4308 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047773 | Backcountry Dox, LLC | Family Medicine | 1320 Morado Dr, Casper, WY 82609 | 2020-09-11 |
| 1174158273 | Harmony Case Management LLC | Case Management | 219 S Sinclair Pl, Casper, WY 82609 | 2020-03-09 |
| 1427417815 | Haley Perl | Speech-Language Pathologist | 2510 E 15th St Ste 15, Casper, WY 82609 | 2016-02-15 |
| 1538550496 | Andrea Renee Swanson | Counselor | 2015 E. 15th St., Suite 10, Casper, WY 82609 | 2015-02-13 |
| 1619386901 | Kmart Pharmacy | Pharmacy | 4000 East 2nd, Casper, WY 82609 | 2014-08-12 |
| 1306268628 | Kati Jo Tuma | Physician Assistant | 6600 E. 2nd Street, Casper, WY 82609 | 2014-01-07 |
| 1609297506 | Summit Medical Center, LLC | General Acute Care Hospital | 6350 E. 2nd Street, Casper, WY 82609 | 2013-12-18 |
| 1013354158 | Phillip Hermon | Registered Nurse | 2515 East 8th St, Casper, WY 82609 | 2013-05-30 |
| 1992141527 | Wind City Dental | Dentist | 1530 Centennial Court, Casper, WY 82609 | 2013-05-22 |
| 1235404930 | Melanie Anne Connell | Counselor | 2955 E. 2nd St., Casper, WY 82609 | 2012-03-13 |
| Find all providers in zip 82609 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083187199 | Chelsea Eddington | Physician Assistant | 620 Granite Peak Dr Apt 307, Casper, WY 82609-4551 | 2019-01-10 |
| 1932458262 | Vitoria Deitchler | Physician Assistant | 419 South Washington, Suite 102, Casper, WY 82601 | 2012-08-31 |
| 1376799304 | Michael Anthony Paglia | Physician Assistant | 4531 E 21st St, Casper, WY 82609-3870 | 2008-08-11 |
| 1558378372 | Lori J. Wortham | Physician Assistant | 940 E 3rd St Ste 215, Casper, WY 82601-3251 | 2006-08-02 |
| 1386258903 | Tianna Aikey | Physician Assistant | 1230 E 1st St, Casper, WY 82601-2704 | 2020-09-01 |
| 1972130565 | Breck Groskreutz | Physician Assistant | 1441 Wilkins Cir, Casper, WY 82601-1337 | 2020-03-24 |
| 1104475110 | Shaelynn Hunsicker | Physician Assistant | 1233 E 2nd St, Casper, WY 82601-2988 | 2019-09-11 |
| 1952881872 | Jenni L Griffith | Physician Assistant | 1416 E A St Ste 101, Casper, WY 82601-2276 | 2018-08-20 |
| 1093269623 | Robyn Morrison | Physician Assistant | 5840 E 2nd St Ste 200, Casper, WY 82609-4363 | 2016-08-11 |
| 1477901106 | Emily Clayton | Physician Assistant | 3632 American Way, Casper, WY 82604-3164 | 2016-06-03 |
| Find all providers in CASPER | ||||
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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.