Erickson Surgical Consulting PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

63886701205 Issued in UT

Legal business name

ERICKSON SURGICAL CONSULTING PLLC

Practice address

10011 Centennial Pkwy
Suite 150
Sandy, UT 84070-4156

Phone

(801) 727-2672

Fax

(801) 727-2682

NPI assigned

Aug 10, 2010

Last updated

Oct 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ty Bolton Erickson, M.D.

Title

M.D

Phone

(801) 727-2672

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1558676957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E 11400 S",
            "address_2": "SUITE 252",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840706705",
            "telephone_number": "801-727-2672",
            "fax_number": "801-727-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 CENTENNIAL PKWY",
            "address_2": "SUITE 150",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704156",
            "telephone_number": "801-727-2672",
            "fax_number": "801-727-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON SURGICAL CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "BOLTON",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "801-727-2672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "63886701205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empowered Health and Wellness
• Encompass Health Rehabilitation Hospital of Utah LLC (Encompass Health Rehabilitation Hospital of Utah)
• Encompass Home Health of the West, LLC (Encompass Home health and Hospice of Utah)
• Karen Englebright
• Julie Epperson
• Janice Lee Erickson, R.PH.
• Jose L Escobar
• Isabella Sidney Eskelson
• Anya Grazia Pagaddu Estorpe, RN, BSN, MSN
• Amy Evans, CRNA

• Obstetrics & Gynecology Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Obstetrics & Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.