Carl F. Erickson, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2361 Issued in TX

Legal business name

CARL F. ERICKSON, MD PA

Practice address

9711 Huebner
BLDG 2
San Antonio, TX 78240-3163

Phone

(210) 641-6559

Fax

(210) 699-9968

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carl Frederick Erickson, MD

Title

Owner Physician

Phone

(210) 641-6559

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Pembroke Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Uma C Nair, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1962475962
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1609985407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 HUEBNER",
            "address_2": "BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403163",
            "telephone_number": "210-641-6559",
            "fax_number": "210-699-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 HUEBNER",
            "address_2": "BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403163",
            "telephone_number": "210-641-6559",
            "fax_number": "210-699-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL F. ERICKSON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "210-641-6559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "0002HD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102522303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5041089",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150274201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDIVIDUAL",
            "identifier": "8F3210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pembroke Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caring for Kids Pediatrics, PA
• Caring Hands Hospice LLC
• Caring Hearts Home Health
• Caring Senior Service USA
• Carl E Dukes M D PA
• Carla E. Thomas
• Carla E. Thomas
• Carlen Palmer Blume DDS, PC
• Teresa Johelen Carleton, M.D.
• Yolanda Lynn Carley, RBT

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.