MR. BENJAMIN L ERICKSON (NPI# 1639715428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639715428 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN L ERICKSON |
| Credential | A.A. |
| Practice Address |
2900 W Oklahoma Ave Milwaukee WI 53215-4330 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4146496000 |
| Mailing Telephone | 4143892233 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 167-17 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942529144 | Benjamin Peter Erickson | Ophthalmology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2010-05-27 |
| 1225228158 | Benjamin James Erickson | Internal Medicine | 215 S Parkside Dr Ste 215, Colorado Springs, CO 80910-3131 | 2007-07-26 |
| Street Address |
2900 W OKLAHOMA AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53215-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640811 | Moises A Garcia | Internal Medicine | 2900 W Oklahoma Ave, 5th Fl, Milwaukee, WI 53215-4330 | 2005-06-21 |
| 1366040883 | Amy Lynn Mann | Occupational Therapist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-16 |
| 1992302616 | Taylor A Umpierrez | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-10-06 |
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1992318091 | Sarah E Gelhaar | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-28 |
| 1831700483 | David J Guerard | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-16 |
| 1083225767 | Melanie M Quella | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-14 |
| 1740890219 | Kathleen Rose Silveira | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-08-08 |
| 1245849264 | Anna K Coppin | Nurse Practitioner | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-07-27 |
| 1780209320 | Angie Knutson | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841829918 | Joshua Michael Brooks | Student in an Organized Health Care Education/Training Program | Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 | 2020-04-02 |
| 1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
| 1427510296 | Madelyn Pickle | Student in an Organized Health Care Education/Training Program | 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 | 2019-04-02 |
| 1932601838 | Elizabeth D Morawski | Nurse Practitioner | 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 | 2018-03-06 |
| 1457872673 | Canzata Kimberly Dent | Counselor | 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 | 2017-06-28 |
| 1538689955 | Christian Pena | Durable Medical Equipment & Medical Supplies | 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 | 2017-06-27 |
| 1386178804 | Dane A Olsen | Family Medicine | 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 | 2017-04-12 |
| 1811443492 | Thomas Diamond | Physical Therapist | 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 | 2016-09-01 |
| 1487055133 | Sam Khalili | Otolaryngology | 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 | 2014-09-12 |
| 1992105621 | Nicole R Hall | Nurse Practitioner | 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 | 2014-08-29 |
| Find all providers in zip 53215 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705664 | Fauzan Ali | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-09-17 |
| 1659991891 | Isaac Alghoosen | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-17 |
| 1073132437 | Brett P Siemon | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-15 |
| 1972122448 | Mallory A Mews | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-04-14 |
| 1568090504 | Nechemiah Leib Kushner | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-03-27 |
| 1205467354 | Steven Erich Kenneth Pollack | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-28 |
| 1164052940 | Kelsey Jean Pohlmann | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-22 |
| 1790315570 | Austin Robert Chriske | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-22 |
| 1568002848 | Jonathan London | Anesthesiologist Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-14 |
| 1023658549 | Lea Van Heule | Anesthesiologist Assistant | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2020-01-13 |
| Find all providers in MILWAUKEE | ||||
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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.