MR. DAVID JOHN ERICSON (NPI# 1568560761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568560761 |
| Entity Type | Individual |
| Full Name | MR. DAVID JOHN ERICSON |
| Credential | PA-C |
| Practice Address |
520 Upper Chesapeake Dr Ste 206 Bel Air MD 21014 |
| Mailing Address |
520 Upper Chesapeake Dr Ste 206 Bel Air MD 21014-4360 |
| Practice Telephone | 4108799100 |
| Practice Fax Number | 4106380408 |
| Mailing Telephone | 4108799100 |
| Mailing Fax Number | 4106380408 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0007193 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057338 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 435383 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417098690 | David Lamont Ericson | Family Medicine | 25 N. Winfield Road, Medical Staff Office, Winfield, IL 60190 | 2007-02-09 |
| Street Address |
520 UPPER CHESAPEAKE DR STE 206 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735188 | Amber Palermo | Audiologist | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014-4360 | 2020-06-24 |
| 1558921528 | Maya Freund | Audiologist | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014 | 2019-06-20 |
| 1154781136 | Christina Navin | Nurse Practitioner | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014 | 2016-03-03 |
| 1063820280 | Ashley Fine | Nurse Practitioner | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014-4360 | 2014-07-31 |
| 1952737421 | Megan Lynn Carroll | Registered Nurse | 520 Upper Chesapeake Dr Ste 206, Bel Air, MD 21014-4360 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
| 1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
| 1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
| 1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
| 1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
| 1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
| 1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
| 1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
| 1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
| 1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
| Find all providers in zip 21014 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154867422 | Nathan William Toth | Physician Assistant | 602 S Atwood Rd Ste 100, Suite 100, Bel Air, MD 21014-4198 | 2017-01-11 |
| 1730499070 | Sarah Louise Mohr | Physician Assistant | 602 S. Atwood Rd, #200 A, Bel Air, MD 21014-4396 | 2010-10-20 |
| 1679582936 | Michelle Montague | Physician Assistant | 2021b Emmorton Rd Ste 210, Bel Air, MD 21015-8972 | 2006-08-05 |
| 1053873786 | Nicole E Green | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2019-04-02 |
| 1366927675 | Sau Win | Physician Assistant | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2018-10-02 |
| 1679015333 | Dalia Akkad Abaza | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2016-11-12 |
| 1437524287 | Pamela Suzanne Moulsdale | Physician Assistant | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2015-12-04 |
| 1093184848 | Brigit Yadana Htoon Phillips | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015 | 2015-09-23 |
| 1720496227 | Ashley L Heisey | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2014-07-28 |
| 1467726869 | Jessica Sebastian | Physician Assistant | 1505 E Churchville Rd, Bel Air, MD 21014-4742 | 2012-03-02 |
| Find all providers in BEL AIR | ||||
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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.