Judith G Erickson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2875 Issued in TX

Practice address

14860 Montfort Dr
Suite 115, LB 32
Dallas, TX 75254-6873

Phone

(469) 431-5656

Fax

(877) 658-8663

NPI assigned

Jul 5, 2006

Sex

Female

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

Enrolled in TX

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

University of Texas Medical School at San Antonio, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centrum Medical Group PLLCGroup PAC ID 9234500984, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Centrum Medical Group, PLLC

  • General Practice Physician
  • Katy, TX
  • NPI 1376219543
  Medicare reassignment Care Compare group NPD
• Centrum Medical Group PLLC

  • General Practice Physician
  • McAllen, TX
  • NPI 1033099627
  NPD
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Houston, TX
  • NPI 1073266953
  NPD
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1043963317
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1821029307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 MONTFORT DR",
            "address_2": "SUITE 115, LB 32",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546873",
            "telephone_number": "214-550-1469",
            "fax_number": "214-446-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 MONTFORT DR",
            "address_2": "SUITE 115, LB 32",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546873",
            "telephone_number": "469-431-5656",
            "fax_number": "877-658-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JUDITH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Michelle Ericksen, CRNA
• Erickson Health Medical Group of Texas PA
• Erickson Health Medical Group of Texas, PA
• Elise Erickson, OTR
• James Blake Erickson
• Kim Erickson, M.S.,R.N.,C.P.N.P
• Linda Lucia Erickson, SLP
• Bethany Ericson
• Laura Ericson, BCBA
• Lucy Rose Ericson, OTR

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.