NPIMap

Organization Active NPI

Ericson Hand and Nerve Center, PLLC

  • Clinic/Center
  • Mountlake Terrace, WA
National Provider Identifier
1255531372
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD00044072 Issued in WA
Legal business name
ERICSON HAND AND NERVE CENTER, PLLC
Practice address
6100 219TH St SW
Suite 540
Mountlake Terrace, WA 98043-2222
Phone
(425) 776-4444
Fax
(425) 328-1540
NPI assigned
Jul 18, 2007
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
William Burton Ericson Jr., MDNPI 1033216833
Title
Member
Phone
(425) 776-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD00044072 WA Primary

Addresses

Primary practice location

6100 219TH St SW
Suite 540
Mountlake Terrace, WA 98043-2222

Mailing address

6100 219TH St SW
Suite 540
Mountlake Terrace, WA 98043-2222
Phone (425) 776-4444

Other identifiers 1

IdentifierTypeStateIssuer
1033216833OtherWAINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

6100 219th St SW
Ste 540
Mountlake Terrace, WA 98043
Phone (206) 274-5880

Practitioners & affiliated clinicians

Practitioners 2

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1255531372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "address_2": "SUITE 540",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-776-4444",
            "fax_number": "425-328-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 219TH ST SW",
            "address_2": "SUITE 540",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432222",
            "telephone_number": "425-776-4444",
            "fax_number": "425-328-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICSON HAND AND NERVE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "ERICSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-776-4444",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00044072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1033216833",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.