DONALD PAUL ERICKSEN (NPI# 1386755395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386755395 |
| Entity Type | Individual |
| Full Name | DONALD PAUL ERICKSEN |
| Credential | M.D. |
| Practice Address |
6 13th Ave E Polson MT 59860-5315 |
| Mailing Address |
Po Box 12 Liberty Lake WA 99019-0012 |
| Practice Telephone | 4068835680 |
| Mailing Telephone | 4068835680 |
| Mailing Fax Number | 4068838910 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 8461 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS | 000017571 | 01 |
| MT | 0108758 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Sunnyview Ln, Kalispell, MT 599013164 | 4067527900 | 4062570253 |
| Street Address |
6 13TH AVE E |
| City | POLSON |
| State | MT |
| Zip Code | 59860-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669576 | Kenneth L. Galewyrick | Emergency Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2005-06-16 |
| 1982227443 | Sarah Elizabeth Anderson | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2020-05-19 |
| 1932601796 | Elizabeth Nicole Bassler | Social Worker | 6 13th Ave E, Polson, MT 59860-5315 | 2018-03-07 |
| 1437661113 | Paige J Stone | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2017-11-02 |
| 1992230239 | Corey Gaul | Emergency Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2017-04-24 |
| 1235679796 | Shana Eaglefeathers | Family Medicine | 6 13th Ave E, Polson, MT 59860-5315 | 2017-03-03 |
| 1306296249 | Susan Weaselhead | Counselor | 6 13th Ave E, Polson, MT 59860-5315 | 2016-06-21 |
| 1194191569 | Clint Tjelmeland | Pharmacist | 6 13th Ave E, Polson, MT 59860-5315 | 2015-08-19 |
| 1134501117 | Maria Mcneil Williams | Nurse Practitioner | 6 13th Ave E, Polson, MT 59860-5315 | 2015-06-25 |
| 1831581669 | Angelia Relph | Nurse Anesthetist, Certified Registered | 6 13th Ave E, Polson, MT 59860-5315 | 2015-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434893 | Joost Gazendam | Orthopaedic Surgery | 6 13th Ave E, Polson, MT 59860-5315 | 2013-09-23 |
| 1982903183 | Michael Patrick Wright | Orthopaedic Surgery | 6 13th Ave E, Polson, MT 59860-5315 | 2011-03-28 |
| 1700976826 | Michael Righetti | Orthopaedic Surgery | 6 13th Ave E, Polson, MT 59860-5315 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355475 | Omt Care of Mt, LLC | Orthopaedic Surgery | 1925 Grand Ave Ste 127, Billings, MT 59102-2776 | 2019-06-17 |
| 1386181824 | Charles Raymond Canty | Orthopaedic Surgery | 3441 Quincy St., Butte, MT 59701 | 2017-01-23 |
| 1558750596 | Heather Hansen | Orthopaedic Surgery | 2900 12th Ave No #140w, Billings, MT 59101-7507 | 2015-01-14 |
| 1932408473 | Emily C Harnden | Orthopaedic Surgery | 536 S Cottonwood Rd Ste 100, Bozeman, MT 59718-9529 | 2011-03-23 |
| 1710119953 | Darren Travis Herzog | Orthopaedic Surgery | 2702 8th Ave North, Billings, MT 59101 | 2009-08-21 |
| 1285870501 | Paul Mason Melvin | Orthopaedic Surgery | 26 Carriage Ln, Helena, MT 59601-9639 | 2008-12-17 |
| 1295998771 | Andrew Blackman | Orthopaedic Surgery | Great Falls Clinic, 3000 15th Avenue South, Great Falls, MT 59405 | 2008-07-06 |
| 1730340803 | Michael Alex Sousa | Orthopaedic Surgery | 23205 Nine Mile Rd, Huson, MT 59846-9622 | 2008-06-21 |
| 1134305709 | Timothy Donald Browne | Orthopaedic Surgery | 34072 Bluebird Ln, Ronan, MT 59864-9043 | 2008-01-14 |
| 1609919364 | Lotfi Ben-youssef | Orthopaedic Surgery | 214 14th Ave Sw Ste 108, Sidney, MT 59270-3521 | 2007-02-14 |
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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.