Scott Erickson

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5836179-1205 Issued in UT

Practice address

440 Medical Dr
Suite 4
Bountiful, UT 84010-4950

Phone

(807) 294-8288

Fax

(801) 294-8488

NPI assigned

Jul 5, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Saint Louis University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeview Hospital Hospital, Bountiful, UT, CCN 460042

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Scott a Erickson MD, PC

  • Family Medicine Physician
  • Bountiful, UT
  • NPI 1972500882
  Medicare reassignment Authorized official
• Scott a. Erickson, M.D., P.C.

  • Urology Physician
  • Bountiful, UT
  • NPI 1811706377
  NPD (past) Authorized official
• Scott a. Erickson, M.D., P.C.

  • Urology Physician
  • Bountiful, UT
  • NPI 1831909266
  NPD (past) Authorized official
• Mountain View Foot and Ankle Specialists Inc

  • Foot & Ankle Surgery Podiatrist
  • Brigham City, UT
  • NPI 1598761090
  NPD (past)
• Washington Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Washington, PA
  • NPI 1639133861
  NPD (past)

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

• Hospital Corporation of Utah

  • General Acute Care Hospital
  • Bountiful, UT
  • NPI 1528010451
  Care Compare affiliation

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1780681775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCOTT ERICKSON",
            "address_2": "440 MEDICAL DR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104950",
            "telephone_number": "807-294-8288",
            "fax_number": "801-294-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MEDICAL DR",
            "address_2": "SUITE 4",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104950",
            "telephone_number": "807-294-8288",
            "fax_number": "801-294-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5836179-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D6126",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Steven English, M.D.
• Dayna Epperson, OTR/L
• Eric C. Johnston MD Inc.
• Alena Ericksen, CMHC
• Jennifer Allen Ericksen, CSW
• Kristin Erskine, LPC NCC
• Jessica Esau
• Tara L Eschler
• Edgar Escobedo
• Addison Rose Estes

• Family Medicine Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.

Verify at the official NPI Registry.