Gunnar J Erickson (NPI# 1528061371, PAC ID# 8921065053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1528061371 |
| PAC ID by PECOS | 8921065053 |
| Professional Enrollment ID | I20110111000832 |
| Full Name | Gunnar J Erickson |
| Organization Legal Name | TEC LLC |
| Address |
5200 Fairview Blvd Wyoming MN 55092-8013 |
| Phone Number | 6519827720 |
| Gender | M |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 1977 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8022075142 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240050 | FAIRVIEW LAKES HEALTH SERVICES |
| Address | Phone | Organization |
|---|---|---|
| 10961 Club W Pkwy Ne, Suite 130, Blaine, MN 55449 | 7635717550 | TEC LLC |
| 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 6519827720 | TEC LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | TEC LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Eichler | Ophthalmology | Tec LLC | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Steven A Zimmer | Optometry | Tec LLC | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Charles Joseph Kopp | Optometry | Tec LLC | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Mary A Bhavsar | Ophthalmology | Tec LLC | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Todd C Kavanagh | Optometry | Tec LLC | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Street Address |
5200 FAIRVIEW BLVD |
| City | WYOMING |
| State | MN |
| Zip | 55092-8013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Julie L Becker | Obstetrics/gynecology | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| John B Buren | Podiatry | Fairview Health Services | 5200 Fairview Blvd, Suite 1300, Wyoming, MN 55092-8013 |
| Oluwakemi T Olowoyo | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| David C Drage | Emergency Medicine | Fairview Health Services | 5200 Fairview Blvd, Suite 1300, Wyoming, MN 55092-8013 |
| John T Northwood | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| David J Tosteson | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| David D Laxson | Cardiovascular Disease (cardiology) | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly C Vaishnav | Nurse Practitioner | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Sheila R Reash | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Patrick Eikens | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Gregory A Helmer | Interventional Cardiology | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Deborah K Strand | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Henri Roukoz | Cardiovascular Disease (cardiology) | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Gloria J Dullinger-brown | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Michael D Eichler | Ophthalmology | Tec LLC | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Heidi L Ruzek | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Antonette M Trapp | Nurse Practitioner | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Kent N Yoshida | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Li Ge | Medical Oncology | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Find all physicians in zip 55092 | |||
| City | WYOMING |
| Zip Code | 55092 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WYOMING + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Gunnar J Erickson.
| 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.