Organization Active NPI

Thomas W. Ericksen, M.D.

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1225119936
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THOMAS W. ERICKSEN, M.D.
Practice address
1835 E High St
Springfield, OH 45505-5210
Phone
(937) 525-0100
Fax
(937) 525-9376
NPI assigned
Oct 18, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Thomas W Ericksen, M.D.NPI 1770595498
Title
Business Owner
Phone
(937) 525-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

1835 E High St
Springfield, OH 45505-5210

Mailing address

1835 E High St
Springfield, OH 45505-5210
Phone (937) 525-0100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225119936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455055210",
            "telephone_number": "937-525-0100",
            "fax_number": "937-525-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455055210",
            "telephone_number": "937-525-0100",
            "fax_number": "937-525-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. ERICKSEN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ERICKSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "937-525-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.