Active NPI
Jon Michael Erickson, M.D.
- Orthopaedic Surgery Physician
- Superior, CO
National Provider Identifier
1821093501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 33524
- Practice address
- 500 Discovery Pkwy
Ste 125
Superior, CO 80027-8639 - Phone
- (303) 926-8734
- Fax
- (303) 926-8747
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 33524 | CO | Primary |
Addresses
Primary practice location
500 Discovery Pkwy
Ste 125
Superior, CO 80027-8639
Mailing address
500 Discovery Pkwy
Ste 125
Superior, CO 80027-8639
Phone (303) 926-8734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33524 | CO | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1821093501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DISCOVERY PKWY",
"address_2": "STE 125",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800278639",
"telephone_number": "303-926-8734",
"fax_number": "303-926-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DISCOVERY PKWY",
"address_2": "STE 125",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800278639",
"telephone_number": "303-926-8734",
"fax_number": "303-926-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "JON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "33524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.