Individual provider Active NPI

Thomas Erickson, D.O.

  • Emergency Medicine Physician
  • Iowa City, IA
National Provider Identifier
1114453248
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.016399 Issued in OH
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-7205
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X R-11751 IA
Emergency Medicine Physician 207P00000X OT017913 PA
Emergency Medicine Physician 207P00000X 34.016399 OH Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Dept of Anesthesia
Iowa City, IA 52242-1009

Other practice location 1

311 W 24th St
4th Floor
Erie, PA 16502-2665
Phone (814) 452-5109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210804003329 PA Practitioner - Emergency Medicine 6204193253 Reassigns benefits to 2 organizations
I20230511001079 OH Practitioner - Emergency Medicine 6204193253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

Hospital & facility affiliations

  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.36
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-11751IAMDCritical Care Medicine (Anesthesiology) Physician
OT017913PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Ahn Observation Group LLC Emergency Medicine CurrentSince May 15, 2023 Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Jul 21, 2021 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Organizations & group practices 3

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 2

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1114453248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W 24th St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165022665",
            "country_code": "US",
            "telephone_number": "814-452-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "IA",
            "license": "R-11751",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT017913",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.016399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.