NPIMap

Individual provider Active NPI

Davis L Erickson, M.D.

  • Anesthesiology Physician
  • Nellis AFB, NV
National Provider Identifier
1285093567
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
30176 Issued in NE
Practice address
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone
(702) 653-3550
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 30176 NE Primary

Addresses

Primary practice location

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600

Mailing address

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201019002092 NV Practitioner - Anesthesiology 5496175184 Reassigns benefits to 5 organizations
I20201214001399 AZ Practitioner - Anesthesiology 5496175184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesiology Consultants-Beckett-PLLCGroup PAC ID 6507925849, 42 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

2565 E Flamingo Rd
Las Vegas, NV 89121-5203
Phone (702) 697-7900

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 880-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30176NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amin, Dunckelmeyer and Luu PLLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince Dec 1, 2020 Accepting new patients
Battle Born Anesthesia Associates LTD Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Oct 1, 2020 Accepting new patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Oct 1, 2020 Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Kingman Healthcare, Inc CurrentSince Dec 1, 2020 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Jan 28, 2024 Accepting new patients
Kingman Healthcare, Inc Family Medicine Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

10120 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 487-6880

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

Interoperability endpoints

  • Direct secure messaging: erickson.davis@direct.azkrmc.md

Organizations & group practices 11

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1285093567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "DAVIS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "30176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nellis AFB, NV

Sources for this page

Verify at the official NPI Registry.