Scott a Erickson MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SCOTT A ERICKSON MD, PC

Practice address

440 Medical Dr Ste 4
Bountiful, UT 84010-4951

Phone

(801) 294-8288

Fax

(801) 294-8488

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Scott A Erickson, MDNPI 1780681775

Title

Medical Doctor

Phone

(801) 294-8288

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Scott a Erickson MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Scott a. Erickson, M.D., P.C.

  • Urology Physician
  • Bountiful, UT
  • NPI 1811706377
  NPD tax ID
• Scott a. Erickson, M.D., P.C.

  • Urology Physician
  • Bountiful, UT
  • NPI 1831909266
  NPD tax ID

Locations

Practitioners 4

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

• Scott Erickson

  • Family Medicine Physician
  • Bountiful, UT
  • NPI 1780681775
  Medicare reassignment Authorized official
• David J Henderson, MD

  • Urology Physician
  • Bountiful, UT
  • NPI 1417933284
  Medicare reassignment NPD
• Cynthia Duke Hazelwood, APRN

  • Family Nurse Practitioner
  • Liberty, UT
  • NPI 1922242262
  NPD (past)
• Jon C Oberg, M.D.

  • Surgery Physician
  • Bountiful, UT
  • NPI 1316035942
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1972500882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MEDICAL DR",
            "address_2": "SUITE 4",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104950",
            "telephone_number": "801-294-8288",
            "fax_number": "801-294-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 MEDICAL DR STE 4",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104951",
            "telephone_number": "801-294-8288",
            "fax_number": "801-294-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Medical Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840105174",
            "country_code": "US",
            "telephone_number": "385-722-9566",
            "fax_number": "385-722-9567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTT A ERICKSON MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "801-294-8288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Elden Schow, P.A.-C
• Clio Schriever
• Heather Dawn Schultz
• Richard John Schuurman, L.P.C.
• Kenneth Pugmire Schwab, PH.D.
• Scott a. Erickson, M.D., P.C.
• Scott a. Erickson, M.D., P.C.
• Scott E Southworth MD PC
• James Scott Scoville, PA-C
• Bryan L Seagle, D.P.M.

• 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 Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.