Alexander Christian Erickson, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Uss Sioux City (LCS 11) (Gold)
2480 Bon Hommes Richard Street
Jacksonville, FL 32227

Phone

(757) 443-7400

NPI assigned

Jan 13, 2012

Last updated

May 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1639440282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280046",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322280046",
            "telephone_number": "757-443-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USS SIOUX CITY (LCS 11) (GOLD)",
            "address_2": "2480 BON HOMMES RICHARD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32227",
            "telephone_number": "757-443-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uss Harry S Truman",
            "address_2": "ATTN: Medical Department",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AE",
            "postal_code": "095242875",
            "country_code": "US",
            "telephone_number": "757-396-5806",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ALEXANDER",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ergo Body Inc. (Ergo Body)
• Michael J. Erhard, MD
• Eric M. Gabriel, M.D., P.a.
• Eric W Shultz DPM PA
• Ericka Ericka Vargas
• Edith Carol Erickson, NP
• Jamie Lee Erickson, MS, ATC, LAT
• John Erickson, O.D.
• Hans Olof Eriksson, MD
• Erin Doty MD PA (First Coast Neurosciences)

• Independent Duty Corpsman in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Independent Duty Corpsman in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.