NPIMap

Individual provider Active NPI

Steven Thomas Ericksen, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Wichita, KS
National Provider Identifier
1639335490
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
04-35568 Issued in KS
Practice address
7550 West Village Circle
Ste. 1
Wichita, KS 67205
Phone
(316) 838-2020
Fax
(316) 838-7574
NPI assigned
Jul 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 04-35568 KS Primary

Addresses

Primary practice location

7550 West Village Circle
Ste. 1
Wichita, KS 67205

Mailing address

7550 West Village Circle
Ste. 1
Wichita, KS 67205
Phone (316) 838-2020

Other identifiers 1

IdentifierTypeStateIssuer
200966550AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121108000689 KS Practitioner - Orthopedic Surgery 8628229192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Orthopaedic Center, PAGroup PAC ID 3577553668, 24 clinicians

Practice addresses (Care Compare)

7550 W Village Cir
Suite 1
Wichita, KS 67205-9364
Phone (316) 838-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.17 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
83.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion373
Laminectomy or laminotomy (partial removal of spine bones)45
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-35568KSMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Orthopaedic Center, P.a. Orthopaedic Surgery of the Spine CurrentSince Aug 15, 2012 Accepting new patients
Kansas Orthopaedic Center, P.a. Orthopaedic Surgery of the Spine CurrentSince Aug 15, 2012 Accepting new patients
Wesley Medical Center LLC Past Accepting new patients

Locations

101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700

7550 W Village Cir
Ste 1
Wichita, KS 67205
Phone (316) 838-2020

2450 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 612-4815

Interoperability endpoints

  • Direct secure messaging: steven.ericksen@khindirect.org

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1639335490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WEST VILLAGE CIRCLE",
            "address_2": "STE. 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WEST VILLAGE CIRCLE",
            "address_2": "STE. 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSEN",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KS",
            "license": "04-35568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200966550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.