Gordon T Erickson (NPI# 1194033530, PAC ID# 7416256045) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194033530 |
| PAC ID by PECOS | 7416256045 |
| Professional Enrollment ID | I20160503000230 |
| Full Name | Gordon T Erickson |
| Organization Legal Name | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| Address |
5820 E 2nd St Casper WY 82609-4308 |
| Phone Number | 3072349037 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2264340843 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 530012 | WYOMING MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5820 E 2nd St, Casper, WY 82609-4308 | 3072349037 | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| 111 S 5 St, Douglas, WY 82633-2434 | 3073582122 | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| Organization Legal Name | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan L Mattern | Cardiovascular Disease (cardiology) | Memorial Hospital of Converse County | 700 E Ctr St, Douglas, WY 82633-2446 |
| Kellie D Clausen | Nurse Practitioner | Memorial Hospital of Converse County | 111 S 5th St, Douglas, WY 82633-2434 |
| Loren B Thiel | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| James Bruce Odone | Diagnostic Radiology | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Patrick A Robertson | Orthopedic Surgery | Memorial Hospital of Converse County | 201 14th St, Wheatland, WY 82201-3201 |
| James F Morgan | Family Medicine | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Eric B Schubert | Neurosurgery | Memorial Hospital of Converse County | 745 Buena Vista Dr, Lander, WY 82520-3431 |
| Burk T Young | Orthopedic Surgery | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Roberto Fars | Hospitalist | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| William L White | General Surgery | Memorial Hospital of Converse County | 700 E Ctr St, Douglas, WY 82633-2446 |
| Street Address |
5820 E 2ND ST |
| City | CASPER |
| State | WY |
| Zip | 82609-4308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo Mario Santiago | Neurology | Memorial Hospital of Converse County | 5820 E 2nd St, Casper, WY 82609-4308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olivia L Donald | Occupational Therapy | 307 Physical Therapy | 2665 E 2nd St, Casper, WY 82609-2045 |
| Jennifer L Mandros | Physical Therapy | 307 Physical Therapy | 2665 E 2nd St, Casper, WY 82609-2045 |
| Christine Vencill | Clinical Social Worker | 2345 E 2nd St, Casper, WY 82609-2048 | |
| Michael P Wilkinson | Podiatry | Foot Doctor PC | 2233 E 2nd St, Casper, WY 82609-2050 |
| Daniel Taylor Jones | Podiatry | Foot Doctor PC | 2233 E 2nd St, Casper, WY 82609-2050 |
| Marc J Delgadillo | Chiropractic | 2121 E 2nd St, Suite 103, Casper, WY 82609-2056 | |
| Nancy E Brown | Nurse Practitioner | Central Wyoming Skin Clinic PC | 2546 E 2nd St, Suite 400, Casper, WY 82609-2062 |
| David B Wheeler | Neurology | Wyoming Neurologic Associates LLC | 2546 E 2nd St, Suite 600, Casper, WY 82609-2063 |
| Rene L Mosada | Neurology | Wyoming Neurologic Associates LLC | 2546 E 2nd St, Suite 600, Casper, WY 82609-2063 |
| Oliver J Jeffery | Neurology | Wyoming Neurologic Associates LLC | 2546 E 2nd St, Suite 600, Casper, WY 82609-2063 |
| Find all physicians in zip 82609 | |||
| City | CASPER |
| Zip Code | 82609 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CASPER + PHYSICIAN ASSISTANT |
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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.