William B. Ericson Jr., M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

00044072 Issued in WA

Practice address

6100 219TH St SW
Ericson Hand and Nerve Center
Mountlake Terrace, WA 98043-2222

Phone

(425) 776-4444

Fax

(206) 569-4683

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ericsonhandandnervecenter.williamericsonjr@114394.advancedmd-direct.com
• FHIR API: https://api.platform.athenahealth.com/4089/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ipp PC

  dba Interventional Pain Program, Ericson Hand and Nerve Center

  • Specialist
  • Bothell, WA
  • NPI 1225114929
  NPD (past)
• Northwest Hand Specialists, Inc PS

  dba Hand and Wrist Surgery Center of Washington

  • Medical Specialty Clinic/Center
  • Shoreline, WA
  • NPI 1851316863
  NPD (past)
• Northwest Hand Specialists, Inc., P.S.

  • Orthopaedic Hand Surgery Physician
  • Shoreline, WA
  • NPI 1467493890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1033216833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "address_2": "ERICSON HAND AND NERVE CENTER",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-776-4444",
            "fax_number": "206-569-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "address_2": "ERICSON HAND AND NERVE CENTER",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-776-4444",
            "fax_number": "206-569-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "WILLIAM",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "00044072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Robbin Elgin
• Daniel Mark Elliott Jr., LMHC-A
• Tyler Patrick Ellis
• Desiree Ender
• Ericson Hand and Nerve Center, PLLC
• Jeffrey Clark Ernst, MD
• Sven Magnus Essle Brantaeng, MA
• Ets Consulting LLC (Axis LTC Pharmacy)
• Ets Consulting, LLC (Axis Pharmacy Northwest)
• Evergreen Massage & Wellness (Edmonds Massage Center)

• Orthopaedic Surgery Physician in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.