Active NPI
Nils Siegfried Erikson, M.D.
- Rheumatology Physician
- Longview, TX
National Provider Identifier
1417927401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- P4308
- Practice address
- 2101 W Loop 281
Longview, TX 75604-2506 - Phone
- (903) 315-4422
- Fax
- (903) 753-3671
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | ME89293 | FL | |
| Rheumatology Physician | 207RR0500X | ME89293 | FL | |
| Rheumatology Physician | 207RR0500X | P4308 | TX | Primary |
Addresses
Primary practice location
2101 W Loop 281
Longview, TX 75604-2506
Mailing address
PO Box 4207
Longview, TX 75606-4207
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME89293 | FL | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GS Physician Services | Past | Accepting new patients | |
| Ammar Jarrous MD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Gladewater, TX
- NPI 1356399406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1417927401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4207",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756064207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 W LOOP 281",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042506",
"telephone_number": "903-315-4422",
"fax_number": "903-753-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERIKSON",
"first_name": "NILS",
"middle_name": "SIEGFRIED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "FL",
"license": "ME89293",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME89293",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "TX",
"license": "P4308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.