Active NPI
Catherine S Erickson, MD
- Emergency Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 407143
- Practice address
- 777 Bannock St
MC 7782
Denver, CO 80204-4507 - Phone
- (303) 436-6000
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 1686 | CO | |
| Emergency Medicine Physician | 207P00000X | 407143 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
MC 7782
Denver, CO 80204-4507
Mailing address
777 Bannock St
MC 7782
Denver, CO 80204-4507
Phone (303) 436-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24905275 | Medicaid | CO | |
| 020407 | Other | CO | KAISER COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Oregon Health Sciences University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711
Hospital & facility affiliations
- Legacy Emanuel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.85 of 100
- Quality
- 84.92
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 407143 | CO | MD | Emergency Medicine Physician |
| 1686 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Northwest Acute Care Specialists PC | Emergency Medicine | Current | Accepting new patients |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Portland, OR
- NPI 1215983200
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1629280706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"address_2": "MC 7782",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-436-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"address_2": "MC 7782",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-436-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "CATHERINE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "1686",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "407143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "24905275",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "020407",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.