ANDREW ERICKSON MD PLC (NPI# 1457984502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457984502 |
| Entity Type | Organization |
| Organization Name | ANDREW ERICKSON MD PLC |
| Practice Address |
38 State Farm Rd Fl 1 Waterbury VT 05676-1607 |
| Practice Telephone | 8028828055 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | ANDREW ERICKSON (OWNER) |
| Authorized Official Telephone | 8028828055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
38 STATE FARM RD FL 1 |
| City | WATERBURY |
| State | VT |
| Zip Code | 05676-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144551326 | Andrew John Erickson | Surgery | 38 State Farm Rd Fl 1, Waterbury, VT 05676-1607 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282319 | Elia Vecchione | Psychologist | 167 Elias Way, Duxbury, VT 05676 | 2020-10-15 |
| 1275733354 | Waterbury Family Dentistry, Plc | Dentist | 77 S. Main St., Suite 3, Waterbury, VT 05676 | 2007-07-18 |
| 1437234218 | Thomas A Simpatico | Psychiatry & Neurology | South Main Street, Waterbury, VT 05676 | 2006-10-27 |
| 1952357329 | Shaws Supermarkets Inc | Pharmacy | 820 Waterbury Stowe Rd, Waterbury, VT 05676 | 2006-05-26 |
| 1124093646 | Wendy Dallamura | Nurse Practitioner | 331 Morse Rd, Waterbury, VT 05676 | 2006-02-19 |
| 1144355025 | Gillian Lee Skovron | Social Worker | 89 South Main Street, Waterbury, VT 05676 | 2007-02-22 |
| 1457573545 | The Squier House, Inc. | Custodial Care Facility | 26 Union Street, Waterbury, VT 05676-0000 | 2007-05-02 |
| 1497807069 | Vincents Rexall Drugs Inc | Pharmacy | 80 South Main St, Waterbury, VT 05676-0059 | 2007-01-17 |
| 1942629860 | Maple Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-08 |
| 1497173470 | David W Anderson | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-07 |
| Find all providers in zip 05676 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407121437 | Raafat R Tadros | Surgery | 46 Mayfield Rd, Waterbury, CT 06708-3208 | 2012-03-08 |
| 1730475658 | Diane N Lusas | Surgery | 417 Highland Ave Ste 2, Waterbury, CT 06708 | 2011-06-20 |
| 1144551326 | Andrew John Erickson | Surgery | 38 State Farm Rd Fl 1, Waterbury, VT 05676-1607 | 2010-01-27 |
| 1487885190 | Iyare Osayi Esemuede | Surgery | 133 Scovill St Ste 303, Waterbury, CT 06706-1127 | 2009-07-29 |
| 1073772356 | Shohan Shetty | Surgery | 133 Scovill St, Waterbury, CT 06706 | 2008-06-03 |
| 1528241080 | Shady Macaron | Surgery | 56 Franklin St, Waterbury, CT 06706-1253 | 2007-12-07 |
| 1215124698 | Thomas Raymond Alosco | Surgery | 475 Chase Pkwy, Waterbury, CT 06708 | 2007-09-28 |
| 1285848044 | Surgical Associates of Waterbury, P.C. | Surgery | 1211 W Main St, Waterbury, CT 06708-3106 | 2007-05-10 |
| 1942237516 | J. Alexander Palesty | Surgery | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-06-27 |
| 1699702357 | Michael Stephen Ajemian | Surgery | 56 Franklin St, Waterbury, CT 06706-1221 | 2006-06-27 |
| Find all providers in WATERBURY | ||||
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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.