NPIMap

Individual provider Active NPI

Sara Jane Erickson, M.D.

  • Internal Medicine Physician
  • Sanford, ME
National Provider Identifier
1356374821
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD23060 Issued in ME
Practice address
1474 Main St
Sanford, ME 04073-2426
Phone
(207) 608-8442
Fax
(207) 608-8443
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME63783 FL
Internal Medicine Physician 207R00000X LT-4027 NH
Pediatrics Physician 208000000X ME63783 FL
Pediatrics Physician 208000000X MD23060 ME
Internal Medicine Physician 207R00000X MD23060 ME Primary

Addresses

Primary practice location

1474 Main St
Sanford, ME 04073-2426

Mailing address

1474 Main St
Sanford, ME 04073-2426
Phone (207) 608-8442

Other identifiers 1

IdentifierTypeStateIssuer
373002600MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913001613 NH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224251509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

100 Eileen Dondero Foley Ave
Suite 300
Portsmouth, NH 03801-4597
Phone (603) 436-6115

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LT-4027NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc Internal Medicine CurrentSince Feb 21, 2022 Accepting new patients
Florida Department of Health Past Accepting new patients
Family Care Partners Urgent Care, LLC Past Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients

Locations

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

330 Borthwick Ave
Ste 107
Portsmouth, NH 03801
Phone (603) 433-8434

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

100 Eileen Dondero Foley Ave
Ste 300
Portsmouth, NH 03801
Phone (603) 436-6115

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: sara.erickson@hca6.eclinicaldirectplus.com

Organizations & group practices 4

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 11

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

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1356374821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732426",
            "telephone_number": "207-608-8442",
            "fax_number": "207-608-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040732426",
            "telephone_number": "207-608-8442",
            "fax_number": "207-608-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "SARA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63783",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "LT-4027",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME63783",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "MD23060",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD23060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373002600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.