Active NPI
Jon A Erickson, MD
- Anesthesiology Physician
- Englewood, CO
National Provider Identifier
1487634051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 29722
- Practice address
- 333 W. Hampden Ave.
Suite 600
Englewood, CO 80110-2336 - Phone
- (303) 761-5646
- Fax
- (303) 761-9280
- NPI assigned
- Jan 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 29722 | CO | Primary |
Addresses
Primary practice location
333 W. Hampden Ave.
Suite 600
Englewood, CO 80110-2336
Mailing address
333 W. Hampden Ave.
Suite 600
Englewood, CO 80110-2336
Phone (303) 761-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01297225 | Medicaid | CO |
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 |
|---|---|---|---|
| 29722 | CO | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1487634051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W. HAMPDEN AVE.",
"address_2": "SUITE 600",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102336",
"telephone_number": "303-761-5646",
"fax_number": "303-761-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W. HAMPDEN AVE.",
"address_2": "SUITE 600",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102336",
"telephone_number": "303-761-5646",
"fax_number": "303-761-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "JON",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "29722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01297225",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.