NPIMap

Individual provider Active NPI

Erick A Falconer, M.D.

  • Family Medicine Physician
  • Boise, ID
National Provider Identifier
1235182189
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9861074 Issued in ID
Practice address
950 W Bannock St
Ste 1129
Boise, ID 83702-5999
Phone
(725) 312-3000
NPI assigned
May 19, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 115456 MO
Emergency Medicine Physician 207P00000X 036112484 IL
Family Medicine Physician 207Q00000X 9861074 ID Primary

Addresses

Primary practice location

950 W Bannock St
Ste 1129
Boise, ID 83702-5999

Mailing address

10287 Clayton Rd
Suite 200
Saint Louis, MO 63124-1172
Phone (314) 692-2639

Other practice location 1

10287 Clayton Rd
Suite 200
Saint Louis, MO 63124-1172
Phone (314) 692-2639

Other identifiers 1

IdentifierTypeStateIssuer
1235182189MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9861074IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turtle Run Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Missouri Em-I Medical Services, P.C. Emergency Medicine Past Accepting new patients
Sailfish ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients
Little Blue Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Cchcs, LLC PastSince Dec 14, 2024 Accepting new patients
Saint Anthony's Physician Group Family Medicine Past Accepting new patients
Crystal City Emergency Services, LLC Emergency Medicine Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Southwest Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1235182189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10287 CLAYTON RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241172",
            "telephone_number": "314-692-2639",
            "fax_number": "314-692-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W BANNOCK ST",
            "address_2": "STE 1129",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025999",
            "telephone_number": "725-312-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10287 Clayton Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631241172",
            "country_code": "US",
            "telephone_number": "314-692-2639",
            "fax_number": "314-692-2649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCONER",
        "first_name": "ERICK",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-09-29",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "115456",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036112484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "9861074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235182189",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.