STEPHEN J ERICKSON (NPI# 1942360581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942360581 |
| Entity Type | Individual |
| Full Name | STEPHEN J ERICKSON |
| Credential | M.D. |
| Practice Address |
4824 Mcmahon Blvd Nw Suite 115 Albuquerque NM 87114-5412 |
| Mailing Address |
3447 Corrales Rd Corrales NM 87048-9137 |
| Practice Telephone | 5057922815 |
| Practice Fax Number | 5057922812 |
| Mailing Telephone | 5058900287 |
| Mailing Fax Number | 5057922812 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 87-180 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467762005 | Stephen Albert Erickson | Pathology | #3 Natural Resources Drive, Little Rock, AR 72205 | 2010-10-18 |
| 1043420177 | Stephen Erickson | Physical Therapist | 1234 S Birch St, Santa Ana, CA 92707-1204 | 2007-05-24 |
| 1477047975 | Stephen Paul Erickson | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2018-06-18 |
| 1235620063 | Stephen Erickson | Student in an Organized Health Care Education/Training Program | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2018-05-29 |
| 1134420896 | Stephen Andrew Erickson | Pharmacist | 315 E College Way, Mount Vernon, WA 98273-5431 | 2010-11-11 |
| 1932259587 | Stephen T Erickson | Family Medicine | 1010 Sheridan St, Suite 202, Port Townsend, WA 98368-2901 | 2007-01-12 |
| 1326052713 | Stephen Gregory Erickson | Dentist | 599 Main St, Manchester, CT 06040-5156 | 2006-07-28 |
| 1407834609 | Stephen B Erickson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-06 |
| Street Address |
4824 MCMAHON BLVD NW SUITE 115 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670101 | New Mexico Physical Therapists Inc | Clinic/Center | 4824 Mcmahon Blvd Nw, Ste 101, Albuquerque, NM 87114-5412 | 2005-06-21 |
| 1710398599 | Manu Bharti | Dentist | 4824 Mcmahon Blvd Nw, # 119, Albuquerque, NM 87114-5412 | 2014-05-14 |
| 1073817441 | Larry Eugene Day | Massage Therapist | 4824 Mcmahon Blvd Nw, Suite 113, Albuquerque, NM 87114-5412 | 2010-12-28 |
| 1275771081 | Lauren Schneider Degory | Physical Therapist | 4824 Mcmahon Blvd Nw, Ste 101, Albuquerque, NM 87114-5412 | 2009-02-02 |
| 1477790327 | Ben Muneta | Family Medicine | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2009-01-14 |
| 1700037678 | Corazon Family Health | Preferred Provider Organization | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2008-10-09 |
| 1427104157 | Interventional Pain Specialists of New Mexico, P.a. | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2007-01-26 |
| 1922190040 | Charles F Pace | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2006-09-28 |
| 1588611388 | Bethany Sue Balzis | Physical Therapist | 4824 Mcmahon Blvd Nw, Suite 101, Albuquerque, NM 87114-5412 | 2006-05-27 |
| 1528025467 | Karen Lynnette Browning | Physical Therapist | 4824 Mcmahon Blvd Nw, Suite 101, Albuquerque, NM 87114-5412 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87114 |
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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.