Erickson Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ERICKSON FAMILY MEDICINE

Practice address

302-A Bushley Street
Harrisonburg, LA 71340-0302

Phone

(318) 744-5504

Fax

(318) 744-5505

NPI assigned

Jul 24, 2015

Last updated

Jul 24, 2015By 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

Mathew Erickson, MDNPI 1265642508

Title

MD/Owner

Phone

(318) 744-5504

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mathew C Erickson, M.D.

  • Family Medicine Physician
  • Harrisonburg, LA
  • NPI 1265642508
  Authorized official Same address or phone

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1700261344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "JONESVILLE",
            "state": "LA",
            "postal_code": "713430268",
            "telephone_number": "318-744-5504",
            "fax_number": "318-744-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302-A BUSHLEY STREET",
            "city": "HARRISONBURG",
            "state": "LA",
            "postal_code": "713400302",
            "telephone_number": "318-744-5504",
            "fax_number": "318-744-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "318-744-5504",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107085",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catahoula Parish School Board
• Catahoula Parish School Board
• Tiffany Cater, SLP
• John Joseph Costanza, REGISTERED PHARMACIS
• Vicky Cox Costanza, R.PH
• Mathew C Erickson, M.D.
• Harrisonburg Medical Clinic LLC
• Innovative Speech Therapy Services, LLC
• Just Health
• Just Health

• Primary Care Clinic/Center in Harrisonburg, LA
• Providers in Harrisonburg, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.