SCOTT ERICKSON (NPI# 1871955187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871955187 |
| Entity Type | Individual |
| Full Name | SCOTT ERICKSON |
| Credential | MD |
| Practice Address |
4876 N Sheffield Ave Whitefish Bay WI 53217-5962 |
| Practice Telephone | 4148033922 |
| Mailing Telephone | 4148033922 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD17191 | RI | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 299100 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Kenyon Ave, Wakefield, RI 028794216 | 4017828000 | |
| 200 High Service Ave, North Providence, RI 029045113 | 4014563000 | |
| 825 Chalkstone Ave, Providence, RI 029084728 | 4014562000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282582 | Scott Andrew Erickson | Speech-Language Pathologist | 15-890 Kahakai Blvd, Pahoa, HI 96778-9653 | 2019-08-29 |
| 1083954655 | Scott Eugene Erickson | Hearing Instrument Specialist | 7 Edgewater Dr, Pagosa Springs, CO 81147-9030 | 2013-02-19 |
| 1730177569 | Scott J Erickson | Chiropractor | 2 College Park Ct, Savoy, IL 61874-9660 | 2005-10-06 |
| 1780681775 | Scott Erickson | Family Medicine | 440 Medical Dr, Suite 4, Bountiful, UT 84010-4950 | 2005-07-05 |
| 1154789428 | Scott Erickson | Nurse Practitioner | 13421 S Shore Blvd Ste 101, Wellington, FL 33414-7210 | 2016-02-02 |
| 1841434925 | Scott C Erickson | Hearing Instrument Specialist | 14750 Cedar Ave, Suite 101, Apple Valley, MN 55124-4506 | 2009-04-21 |
| 1073760534 | Scott Martin Erickson | Counselor | 711 Onyx St, Kemmerer, WY 83101-3214 | 2008-08-26 |
| 1770683427 | Scott S Erickson | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449 | 2006-09-23 |
| 1346291168 | Scott Erickson | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-05-15 |
| Street Address |
4876 N SHEFFIELD AVE |
| City | WHITEFISH BAY |
| State | WI |
| Zip Code | 53217-5962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669615670 | David Moss | Emergency Medicine | 5770 N Shore Dr, Whitefish Bay, WI 53217-4864 | 2009-04-07 |
| 1255325726 | Eric Adar | Emergency Medicine | 6024 N Lake Dr, Whitefish Bay, WI 53217-4646 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012171 | Kathleen Ray Price | Emergency Medicine | 146 Old Orchard Ln, Neenah, WI 54956-4954 | 2018-08-10 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1114375367 | Arthur How Jen Chiu | Emergency Medicine | 1726 Chadbourne Ave, Madison, WI 53726-4108 | 2016-05-28 |
| 1912352873 | Glenn Thiel | Emergency Medicine | N20015 Echo Lake Rd, Niagra, WI 54151 | 2016-04-28 |
| 1437512613 | Jacob Tyler Clark | Emergency Medicine | 1035 Kepler Dr, Green Bay, WI 54311-8320 | 2016-04-04 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1164802138 | Adam Nicholson | Emergency Medicine | 600 Highlanc Ave, Madison, WI 53792-0001 | 2015-06-04 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| Find all providers with the same taxonomy | ||||
| City | WHITEFISH BAY |
| Zip Code | 53217 |
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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.