DR. DOUGLAS M ERICKSON (NPI# 1538200555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538200555 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS M ERICKSON |
| Credential | DDS, MS |
| Practice Address |
324 W Superior St Suite 1212 Duluth MN 55802-1701 |
| Practice Telephone | 2187228118 |
| Practice Fax Number | 2187269089 |
| Mailing Telephone | 2187228118 |
| Mailing Fax Number | 2187269089 |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
D9892 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598037038 | Douglas Waldron Erickson | Radiology | 4305 Via Esperanza, Santa Barbara, CA 93110-2251 | 2012-01-30 |
| 1508313479 | Douglas Erickson | Pharmacist | 1601 Old Greensboro Rd, Kernersville, NC 27284-6855 | 2016-09-08 |
| 1528169620 | Douglas J Erickson | Pathology | 5301 Virginia Way Ste 300, Brentwood, TN 37027-7542 | 2006-09-25 |
| 1285732941 | Douglas Garold Erickson | Nurse Anesthetist, Certified Registered | 800 E Dawson St, Tyler, TX 75701-2036 | 2006-09-20 |
| Street Address |
324 W SUPERIOR ST SUITE 1212 |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517447 | Eileen E. Patterson | Dentist | 324 W Superior St, Ste 1130, Duluth, MN 55802-1714 | 2005-06-13 |
| 1669087797 | Center for Family Wellness | Marriage & Family Therapist | 324 W Superior St, 828 Medical Arts Building, Duluth, MN 55802-1701 | 2020-09-15 |
| 1639789019 | Illume North, LLC | Psychologist | 324 W Superior St, 630 Medical Arts, Duluth, MN 55802-1701 | 2020-07-31 |
| 1861038176 | Erin Elizabeth Devaney Therrien | Social Worker | 324 W Superior St, Duluth, MN 55802-1701 | 2019-11-21 |
| 1316430002 | Paul Raymond Baecker | Counselor | 324 W Superior St, Duluth, MN 55802-1701 | 2018-06-07 |
| 1194275537 | Andrea Wells | Counselor | 324 W Superior St, Duluth, MN 55802-1701 | 2016-10-10 |
| 1215480660 | North Shore Mental Health Services LLC | Counselor | 324 W Superior St, Suite 911, Duluth, MN 55802-1701 | 2016-08-02 |
| 1518321710 | Nathan G Halstead Dds Ms PC | Dentist | 324 W Superior St, Suite 100, Duluth, MN 55802-1701 | 2016-04-13 |
| 1740669704 | Northwoods Counseling Center LLC | Psychologist | 324 W Superior St, Suite 911, Duluth, MN 55802-1701 | 2015-05-23 |
| 1134522527 | Adam Ries | Psychologist | 324 W Superior St, Suite 600, Duluth, MN 55802-1701 | 2014-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021505 | Mohammed Adnen Akl | Dentist | 515 Delaware St Se # 9-176, Minneapolis, MN 55455-0357 | 2019-12-26 |
| 1811440738 | Eleni Voltidi | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2016-07-27 |
| 1669710380 | Gary Eugene Cook | Dentist | 12745 Woodcourt Ln, Minnetonka, MN 55343-8677 | 2013-01-31 |
| 1285915611 | Kendall William James | Dentist | 1060 27th Ave Se Apt F, Minneapolis, MN 55414-2773 | 2011-08-30 |
| 1023240074 | Jason Chong | Dentist | 515 Moos Health Science Tower, 9-176, Minneapolis, MN 55455 | 2009-08-10 |
| 1821206863 | David W. Twomey | Dentist | 825 Nicollet Mall Ste 829, Minneapolis, MN 55402-2604 | 2007-05-21 |
| 1417092016 | Edward Lawrence Olson | Dentist | 816 W St Germain St, Suite 502, St Cloud, MN 56301 | 2007-02-21 |
| 1396883146 | Jonathan Oliver Twomey | Dentist | 6600 France Ave S Ste 475, Edina, MN 55435-1804 | 2007-02-02 |
| 1265584213 | Christine L Hermanson | Dentist | 1055 Hwy 36 E, Maplewood, MN 55109 | 2007-01-18 |
| 1649343666 | Michael W. Jorgenson | Dentist | 7700 W. Old Shakopee Rd., Bloomington, MN 55438-5788 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
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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.