Organization Active NPI

Andrew Erickson MD PLC

  • Surgery Physician
  • Waterbury, VT
National Provider Identifier
1457984502
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ANDREW ERICKSON MD PLC
Practice address
38 State Farm Rd FL 1
Waterbury, VT 05676-1607
Phone
(802) 882-8055
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Andrew Erickson
Title
Owner
Phone
(802) 882-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

38 State Farm Rd FL 1
Waterbury, VT 05676-1607

Mailing address

38 State Farm Rd FL 1
Waterbury, VT 05676-1607

National Provider Directory

National Provider Directory

Locations

593 Hercules Dr
Colchester, VT 05446
Phone (802) 373-5266

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1457984502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 STATE FARM RD FL 1",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 STATE FARM RD FL 1",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761607",
            "telephone_number": "802-882-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW ERICKSON MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-882-8055"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.