Thomas Ericksen (NPI# 1770595498, PAC ID# 6103093786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770595498 |
| PAC ID by PECOS | 6103093786 |
| Professional Enrollment ID | I20120123000455 |
| Full Name | Thomas Ericksen |
| Address |
1835 E High St Springfield OH 45505-5210 |
| Phone Number | 9375250100 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360355 | OHIO VALLEY MEDICAL CENTER, LLC |
| 360086 | SPRINGFIELD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1835 E High St, Springfield, OH 45505-5210 | 9375250100 |
| Street Address |
1835 E HIGH ST |
| City | SPRINGFIELD |
| State | OH |
| Zip | 45505-5210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney E Batie | Obstetrics/gynecology | 1835 E High St, Springfield, OH 45505-5210 | |
| James L Cromwell | Obstetrics/gynecology | 1835 E High St, Springfield, OH 45505-5210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas L Shrewsbury | Nurse Practitioner | Springfield Primary Healthcare Services, LLC | 448 E High St, Springfiled, OH 45505-1008 |
| Mark A Smith | Psychiatry | Mental Health Services for Clark Co Inc | 1086 Mound St, Springfield, OH 45505-1191 |
| Jyothi Puram | Internal Medicine | 1730 E High St, Springfield, OH 45505-1208 | |
| Coral Spicer | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Lisa M Delong | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Angela Ruth Jackson | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Daniel W Nesselroade | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| David R Billing | Obstetrics/gynecology | Physicians and Surgeons for Women Inc | 1821 E High St, Springfield, OH 45505-1225 |
| Jerald S Dudney | Internal Medicine | 220 S Arlington Ave, Springfield, OH 45505-1302 | |
| Rebecca Chait | Ophthalmology | Goes Physicians Inc | 2330 E High St, Springfield, OH 45505-1322 |
| Find all physicians in zip 45505 | |||
| City | SPRINGFIELD |
| Zip Code | 45505 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SPRINGFIELD + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.