DR. GARY L. ERICKSON (NPI# 1841290012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841290012 |
| Entity Type | Individual |
| Full Name | DR. GARY L. ERICKSON |
| Credential | D.P.M. |
| Practice Address |
2463 Forest Park Blvd Fort Worth TX 76110-1731 |
| Practice Telephone | 8179265287 |
| Practice Fax Number | 8179265288 |
| Mailing Telephone | 8179265287 |
| Mailing Fax Number | 8179265288 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 801 | TX | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114930922 | Gary Lee Erickson | Dentist | 424 West 5th St, Red Wing, MN 55066 | 2006-08-14 |
| 1114042710 | Gary S Erickson | Dentist | 430 25th Street Nw, Bemidji, MN 56601-0000 | 2007-03-20 |
| Street Address |
2463 FOREST PARK BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76110-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177240 | Sarah Jones Midwifery | Midwife | 2260 5th Ave, Fort Worth, TX 76110 | 2015-10-27 |
| 1427371814 | Cenikor Foundation | Community/Behavioral Health | 2209 South Main Street, Fort Worth, TX 76110 | 2010-03-12 |
| 1225282320 | Ktv Dental, Pa | Dentist | 2717 8th Ave., Fort Worth, TX 76110 | 2008-11-17 |
| 1821291014 | Michael J Davis | Dentist | 1818 8th Avenue, Fort Worth, TX 76110 | 2007-06-06 |
| 1669513347 | Latoya Cherrell Carter | Counselor | 1814 8th Ave # B201, Fort Worth, TX 76110 | 2007-02-08 |
| 1659446771 | Christina Pey-ru Chou | Marriage & Family Therapist | 1616 Park Place Ave., Fort Worth, TX 76110 | 2006-11-22 |
| 1750461364 | Zera Inc | Home Health | 1050 Forest Park Blvd, Fort Worth, TX 76110 | 2006-10-17 |
| 1144300914 | Tai Anh Huynh | Optometrist | 1405 West Berry St, Fort Worth, TX 76110 | 2006-10-16 |
| 1871510784 | Robert T Keller Md & Assco Pa | Internal Medicine | 2751 Greenoaks Rd, Fort Worth, TX 76110 | 2006-07-16 |
| 1114906633 | The Womens Center of Tarrant County Inc | Clinic/Center | 1723 Hemphill, Fort Worth, TX 76110 | 2006-01-12 |
| Find all providers in zip 76110 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1124263512 | Kevin D. Rhodes, Dpm | Podiatrist | 750 North Fwy, Fort Worth, TX 76102-1722 | 2008-12-13 |
| 1518112499 | Healthdrive Podiatry Group, Pa | Podiatrist | 2413 East Loop 820 North, Fort Worth, TX 76118-8210 | 2008-11-19 |
| 1205980232 | South Side Foot Clinic Inc. | Podiatrist | 4759 South Fwy, Suite B, Fort Worth, TX 76115-3655 | 2007-01-23 |
| 1629135157 | Kyle E Hoogendoorn | Podiatrist | 6048 Lake Worth Blvd, Fort Worth, TX 76135-3706 | 2007-01-03 |
| 1558440750 | Raiford Adrian Rattan | Podiatrist | 2716 Cockrell Ave, Fort Worth, TX 76109-1119 | 2006-11-06 |
| 1538253083 | Sherry Lynn Bowers | Podiatrist | 1305 W Magnolia Ave, Suite B, Fort Worth, TX 76104-4351 | 2006-10-02 |
| 1679670970 | William Douglas Boyd | Podiatrist | 3221 Hulen, Suite A, Fort Worth, TX 76107 | 2006-09-20 |
| 1053426601 | Kenneth Lynn James | Podiatrist | 1712 Pennsylvania Ave, Fort Worth, TX 76104 | 2006-08-21 |
| 1720098221 | Thu Cao Nguyen | Podiatrist | 1617 N Beach St, Fort Worth, TX 76111-6617 | 2006-08-08 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76110 |
Please comment or provide details below to improve the information on DR. GARY L. ERICKSON.
| 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.