ERICKSON SURGICAL CONSULTING PLLC (NPI# 1558676957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558676957 |
| Entity Type | Organization |
| Organization Name | ERICKSON SURGICAL CONSULTING PLLC |
| Practice Address |
10011 Centennial Pkwy Suite 150 Sandy UT 84070-4156 |
| Mailing Address |
63 E 11400 S Suite 252 Sandy UT 84070-6705 |
| Practice Telephone | 8017272672 |
| Practice Fax Number | 8017272682 |
| Mailing Telephone | 8017272672 |
| Mailing Fax Number | 8017272682 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | DR. TY BOLTON ERICKSON (M.D) |
| Authorized Official Telephone | 8017272672 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 63886701205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
10011 CENTENNIAL PKWY SUITE 150 |
| City | SANDY |
| State | UT |
| Zip Code | 84070-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812116 | Gary Anthony Carter | Dentist | 10011 Centennial Pkwy, Ste 240, Sandy, UT 84070-4156 | 2005-06-23 |
| 1407002496 | Jacob Scott Hamblin | Dentist | 10011 Centennial Pkwy, Suite 540, Sandy, UT 84070-4156 | 2008-08-11 |
| 1649452475 | Paul W Winterton Md PC | Orthopaedic Surgery | 10011 Centennial Pkwy, #230, Sandy, UT 84070-4156 | 2007-12-04 |
| 1215130182 | Salt Lake Women's Center | Specialist | 10011 Centennial Pkwy, Suite 350, Sandy, UT 84070-4156 | 2007-06-07 |
| 1508076928 | Paul E. Harrison | Dermatology | 10011 Centennial Pkwy, Ste 200, Sandy, UT 84070-4156 | 2007-05-23 |
| 1316160534 | Evergreen Medical, Inc. | Pain Medicine | 10011 Centennial Pkwy, Suite 500, Sandy, UT 84070-4156 | 2007-04-10 |
| 1750418612 | Trueskin Dermatology & Surgery Inc | Dermatology | 10011 Centennial Pkwy, Suite 200, Sandy, UT 84070-4156 | 2007-02-27 |
| 1669517751 | Erik Richard Rooklidge | Dentist | 10011 Centennial Pkwy, Suite 250, Sandy, UT 84070-4156 | 2007-02-20 |
| 1588725097 | Robert Chidester | Dentist | 10011 Centennial Pkwy, Suite 330, Sandy, UT 84070-4156 | 2006-12-12 |
| 1417017740 | Justin Carl Wilcox | Physician Assistant | 10011 Centennial Pkwy, Ste. 150, Sandy, UT 84070-4156 | 2006-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1750684676 | Gregory C. Tanner, M.d. P.C. | Obstetrics & Gynecology | 9600 S 1300 E Ste 305, Sandy, UT 84094-3767 | 2010-12-15 |
| 1841250602 | Leon W Hansen | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-03-24 |
| 1275897324 | Ihc Health Services Inc | Obstetrics & Gynecology | 9660 S 1300 E, Ste 310, Sandy, UT 84094-3762 | 2012-07-03 |
| 1376833046 | Jonathan Bradford Gibson | Obstetrics & Gynecology | 9450 S 1300 E, Sandy, UT 84094-5555 | 2011-04-14 |
| 1538463187 | Layne A Smith, Md PC | Obstetrics & Gynecology | 9600 S 1300 E Ste 305, Sandy, UT 84094-3767 | 2010-12-22 |
| 1992835268 | Ihc Health Services Inc | Obstetrics & Gynecology | 9600 S 1300 E, #308, Sandy, UT 84094-3766 | 2007-03-06 |
| 1134254220 | Ihc Health Services Inc | Obstetrics & Gynecology | 9720 S 1300 E, #e230, Sandy, UT 84094-3712 | 2007-02-22 |
| 1528121779 | Alicia Tabish Jones | Obstetrics & Gynecology | 9600 S 1300 E, Suite 300, Sandy, UT 84094-3766 | 2006-12-19 |
| 1588767081 | Kenneth S Larsen | Obstetrics & Gynecology | 9600 S 1300 E, #308, Sandy, UT 84094-3766 | 2006-09-07 |
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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.