Active NPI
Thomas Erickson, D.O.
- Emergency Medicine Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.016399
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262
Hospital & facility affiliations
- Saint Vincent Hospital
- Ashtabula County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 78.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11751 | IA | MD | Critical Care Medicine (Anesthesiology) Physician |
| OT017913 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ahn Observation Group LLC | Emergency Medicine | Current | Accepting new patients |
| Ahn Emergency Group of Erie County LTD. | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Erie, PA
- NPI 1336564798
-
- Emergency Medicine Physician
- Jefferson Hills, PA
- NPI 1437814696
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashtabula, OH
- NPI 1285607416
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.