Kimberly Erikson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051962 Issued in PA

Practice address

2300 Computer Ave, Suite E-25
Abington Primary Womens Healthcare Group
Willow Grove, PA 19090

Phone

(215) 366-1160

NPI assigned

Jun 14, 2006

Last updated

Jul 11, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Uhs of Pennsylvania Inc

  dba Horsham Clinic

  • Psychiatric Hospital
  • Ambler, PA
  • NPI 1295708832
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1871536912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CURRY LN",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441126",
            "telephone_number": "267-767-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER AVE, SUITE E-25",
            "address_2": "ABINGTON PRIMARY WOMENS HEALTHCARE GROUP",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "19090",
            "telephone_number": "215-366-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIKSON",
        "first_name": "KIMBERLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria-Ramona A Evidente, MD
• Executive Mews Pediatrics, LLC
• Eye Masters Vision Center, LLC (Willow Eye Care)
• F&F Med Co

• Medical Physician Assistant in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.