Alan Steven Ericksen, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

37124 Issued in TN

Practice address

3024 Business Park Cir
Goodlettsville, TN 37072-3132

Phone

(615) 851-6033

Fax

(615) 851-2018

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in VT, AZ, CA3 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 3

Specialty

Diagnostic Radiology

Education

Rutgers New Jersey Medical School, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
• Lower Keys Medical Center Hospital, Key West, FL, CCN 100150

Merit-based Incentive Payment System (MIPS)

Final score

78.06 of 100Reported as group

Quality

72.79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mori Bean and Brooks Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  AZ

  Medicare reassignment Care Compare group
• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446
  Medicare reassignment NPD
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1467654244

  AZ, CA

  Medicare reassignment NPD
• Florida Diagnostic Imaging Center Inc

  • Diagnostic Radiology Physician
  • Panama City, FL
  • NPI 1225096936
  NPD
• Florida Diagnostic Imaging Center Inc

  • Diagnostic Radiology Physician
  • Pensacola, FL
  • NPI 1235197930
  NPD
• Gifford Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Randolph, VT
  • NPI 1013928068
  NPD
• Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1336183102
  NPD (past)
• National Imaging Specialists PLLC

  • Diagnostic Radiology Physician
  • Goodlettsville, TN
  • NPI 1679746457
  NPD (past)
• Radiology Associates of Bennington Inc,

  • Diagnostic Radiology Physician
  • Bennington, VT
  • NPI 1225060270
  NPD (past)
• Southwestern Vermont Medical Center Inc.

  • General Acute Care Hospital
  • Bennington, VT
  • NPI 1205865789
  NPD (past)

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

• Bay County Health System, LLC

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation
• Key West Hma LLC

  • General Acute Care Hospital
  • Key West, FL
  • NPI 1619922077
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1164477154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-851-6033",
            "fax_number": "615-851-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "ALAN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "37124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - MTI",
            "identifier": "1509265",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3335347",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4114096",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - MTI",
            "identifier": "4291466",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64122591",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509265",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4200472",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3882323",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Care Services, LLC
• Ellenbecker and Borsellino PLLC
• Celisa Monica Ellis, LMT
• Michael C Ellis, M.D.
• William Steven Emery, DDS
• Eric Ethridge, DC
• Emily Evans, O.D.
• Philip Wayne Ezell, DDS
• Fair Winds Way, PLLC
• Fairhurst Dermatology

• Diagnostic Radiology Physician in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.

Verify at the official NPI Registry.