Active NPI
Clifford A Erickson, MD
- Emergency Medicine Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01061593A
- Practice address
- 3700 Washington Ave
Evansville, IN 47750-0001 - Phone
- (330) 493-4443
- NPI assigned
- Feb 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01061593A | IN | Primary |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47750-0001
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.85 of 100
- Quality
- 79.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223425 | NY | MD | Licensed Practical Nurse |
| 01061593A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Emergency Physician Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Albany Medical College | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Ulster County,PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Vanderburgh County, PC | Emergency Medicine | Past | Accepting new patients |
Locations
47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
200 Harborside Dr
Schenectady, NY 12305
Phone (518) 881-4470
50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100
4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409
Interoperability endpoints
- cerickson24317@albanymed.direct-ci.com
- cerickson1764564@direct.trinity-health.org
Organizations & group practices 9
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
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- NPI 1093759847
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Emergency Medicine Physician
- Albany, NY
- NPI 1174553093
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Emergency Medicine
-
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
-
- Emergency Medicine Physician
- Evansville, IN
- NPI 1063451946
-
- Emergency Medicine Physician
- Kingston, NY
- NPI 1548200918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164562054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WASHINGTON AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477500001",
"telephone_number": "330-493-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "CLIFFORD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01061593A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- 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.