DR. DOUGLAS PAUL ERICSON (NPI# 1225113301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225113301 |
Entity Type | Individual |
Full Name | DR. DOUGLAS PAUL ERICSON |
Credential | MD |
Practice Address |
14460 New Falls of Neuse Suite 149-102 Raleigh NC 27614-8227 |
Practice Telephone | 9192643363 |
Mailing Telephone | 9192643363 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NC | Allopathic & Osteopathic Physicians |
Street Address |
14460 NEW FALLS OF NEUSE SUITE 149-102 |
City | RALEIGH |
State | NC |
Zip Code | 27614-8227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306839766 | Michael Peters | Optometrist | 14460 New Falls of Neuse, Raleigh, NC 27614-8227 | 2005-08-31 |
1649607441 | Home Accessibility, LLC | Durable Medical Equipment & Medical Supplies | 14460 New Falls of Neuse, Suite 149-332, Raleigh, NC 27614-8227 | 2013-10-11 |
1598067027 | Amanda Marie Page | Pharmacist | 14460 New Falls of Neuse, Kroger Pharmacy, Raleigh, NC 27614-8227 | 2010-12-05 |
1265466056 | Kroger Limited Partnership I | Pharmacy | 14460 New Falls of Neuse, Raleigh, NC 27614-8227 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
Find all providers in zip 27614 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
1598956385 | Athena Radiology Solutions | Radiology | 8309 Six Forks Rd, Suite 101, Raleigh, NC 27615-2096 | 2007-08-06 |
1174738082 | Janine Beeson | Radiology | 1121 Situs Ct, Ste 170, Raleigh, NC 27606-4279 | 2007-05-14 |
1780669986 | John Andrew Bardini | Radiology | 3200 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-8086 | 2005-12-09 |
1699769315 | Richard B Clinton | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2005-09-08 |
1689086878 | Ryan Stephens | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-22 |
1326468893 | Nicole A Keefe | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2014-04-23 |
1750708913 | Ashley Nicole Oladipo | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-03-26 |
1063854354 | Christopher Alan Hallmark | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2013-07-26 |
1073855318 | Sejal Narendra Patel | Radiology | 3400 Wake Forest Rd, Raleigh, NC 27609 | 2013-03-25 |
Find all providers in RALEIGH |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.