Individual provider Active NPI

Erika Cristina Van Doorn, M.D.

  • Trauma Surgery Physician
  • Plano, TX
National Provider Identifier
1093046773
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
P6931 Issued in TX
Practice address
4001 W 15TH St Ste 200
Plano, TX 75093-5855
Phone
(972) 608-2025
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10031142 TX
Trauma Surgery Physician 2086S0127X P6931 TX Primary

Addresses

Primary practice location

4001 W 15TH St Ste 200
Plano, TX 75093-5855

Mailing address

4001 W 15TH St Ste 200
Plano, TX 75093-5855
Phone (972) 608-2025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716001397 FL Practitioner - General SurgeryPractitioner - Emergency Medicine 8921241084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

14100 Fivay Rd
Suite 340
Hudson, FL 34667-7181
Phone (727) 861-0237

Hospital & facility affiliations

  • HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10031142TXMDSurgery Physician
P6931TXMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Trauma Services, LLC Surgery CurrentSince Aug 1, 2022 Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

14100 Fivay Rd
Ste 340
Hudson, FL 34667
Phone (727) 819-9107

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1093046773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935855",
            "telephone_number": "972-608-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935855",
            "telephone_number": "972-608-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DOORN",
        "first_name": "ERIKA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10031142",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "P6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.