KATHERINE ERICSON (NPI# 1366973224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366973224 |
| Entity Type | Individual |
| Full Name | KATHERINE ERICSON |
| Credential | MD |
| Practice Address |
1065 Southern Blvd Bronx NY 10459-2417 |
| Practice Telephone | 7185892440 |
| Mailing Telephone | 7185892440 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-07-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 304259 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 W 98th St Apt 8e, New York, NY 100255674 | 8322282369 | |
| 805 Saint Johns Pl, Apt 3r, Brooklyn, NY 112164278 | 8322282369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346723830 | Katherine E Ericson | Nurse Practitioner | 6709 S Minnesota Ave Ste 205, Sioux Falls, SD 57108-2593 | 2018-09-11 |
| Street Address |
1065 SOUTHERN BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10459-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872035 | Claude Parola | Internal Medicine | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2005-06-21 |
| 1386243582 | Maribel Luna Cruz | Radiologic Technologist | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-10-20 |
| 1669080685 | Anna Katrina Reyes Florendo | Nurse Practitioner | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-07-15 |
| 1588280911 | Daniel James Mulcahy | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-06-22 |
| 1629691142 | Kelly K Smith | Nurse Practitioner | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-05-19 |
| 1740813856 | Oresta Victoria Borodevyc | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-02-17 |
| 1891327557 | Temina A Kusi | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-02-10 |
| 1780220590 | Maria Feliz | Social Worker | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-11-27 |
| 1104460237 | Josiah Guitian | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-11-01 |
| 1508400938 | Nayary Santana | Social Worker | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1083008932 | Claudia Suarez-makotsi | Pediatrics | 2300 Westchester Ave Ste 302, Bronx, NY 10462 | 2015-03-27 |
| 1588058846 | Aisha Angela Bobb-semple | Pediatrics | 1650 Grand Concourse Fl 3, Bronx, NY 10457-7606 | 2015-03-25 |
| 1972996809 | Rebecca Ariella Berger | Pediatrics | 2100 Bartow Ave Rm 311, Bronx, NY 10475-4614 | 2015-03-17 |
| 1962807446 | Hoda Karbalivand | Pediatrics | 1400 Pelham Pkwy S # 6-b25, Bronx, NY 10461-1197 | 2014-10-27 |
| 1871997924 | Ganguly Associates Md PC | Pediatrics | 140 Benchley Pl Frnt 1, Bronx, NY 10475-3502 | 2014-10-17 |
| 1871994228 | Elmer Arteaga Medical PC | Pediatrics | 3201 Grand Concourse Apt 2m, Bronx, NY 10468-1226 | 2014-09-04 |
| 1154734598 | Nora Barmawi | Pediatrics | 4487 3rd Ave Fl 2, Bronx, NY 10457-1526 | 2014-06-03 |
| 1740539931 | Nataliya Krivitskaya | Pediatrics | 627 Lydig Ave, 1 Fl, Bronx, NY 10462-2283 | 2012-09-03 |
| 1770847600 | Merna Gordon | Pediatrics | 770 Grote Street, Bronx, NY 10460 | 2012-06-26 |
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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.