NPIMap

Organization Active NPI

Scott a. Erickson, M.D., P.C.

  • Urology Physician
  • Bountiful, UT
National Provider Identifier
1811706377
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SCOTT A. ERICKSON, M.D., P.C.
Practice address
440 Medical Dr Ste 3
Bountiful, UT 84010-5174
Phone
(801) 721-4017
NPI assigned
Dec 30, 2024
Organization subpart
Yes
Parent organization
SCOTT A. ERICKSON, M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Scott Erickson, MDNPI 1780681775
Title
Owner
Phone
(801) 294-8288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

440 Medical Dr Ste 3
Bountiful, UT 84010-5174

Mailing address

280 S Main St
Bountiful, UT 84010-6236
Phone (801) 505-0821

Other names 1

  • David J. Henderson M.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scott a Erickson MD PC3 organizations share this tax ID, including this one
Part of
Scott a Erickson MD PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1811706377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MEDICAL DR STE 3",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105174",
            "telephone_number": "801-721-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. ERICKSON, M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT A. ERICKSON, M.D., P.C.",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-294-8288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David J. Henderson M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.