Individual provider Active NPI

Clifford A Erickson, MD

  • Emergency Medicine Physician
  • Evansville, IN
National Provider Identifier
1164562054
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01061593A Issued in IN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000405 NY Practitioner - Emergency Medicine 9638149362 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
79.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223425NYMDLicensed Practical Nurse
01061593AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Emergency Medicine CurrentSince Nov 29, 2018 Accepting new patients
Albany Medical College Current Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jan 1, 2009 Accepting new patients
Albany Medical College Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Albany Medical College Emergency Medicine Current Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jun 7, 2023 Accepting new patients
Albany Medical College Emergency Medicine CurrentSince Nov 29, 2018 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

  • Direct secure messaging: cerickson24317@albanymed.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.