M ERICKSEN (NPI# 1952338808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952338808 |
Entity Type | Individual |
Full Name | M ERICKSEN |
Credential | MD |
Practice Address |
100 N. Mario Capecchi Dr Salt Lake City UT 84113-1103 |
Practice Telephone | 8016623578 |
Mailing Telephone | 8016623578 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2011-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207L00000X | Anesthesiology | 363155-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | BCBS | 36315512000001 | 01 |
UT | EDUCATORS MUTUAL | 870280408MTY | 01 |
UT | MOLINA | PRA06245 | 01 |
UT | FIRST HEALTH | 100504905 | 01 |
AZ | 878407 | 05 | |
UT | HEALTHY U | 77988 | 01 |
MT | 0153221 | 05 | |
UT | PEHP | 78899 | 01 |
UT | ALTIUS | 219176 | 01 |
WY | 120083600 | 05 | |
UT | DESERET MUTUAL | 693497 | 01 |
ID | 806196700 | 05 |
Street Address |
100 N. MARIO CAPECCHI DR |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84113-1103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083761951 | Aaron Eckhauser | Surgery | 100 N. Mario Capecchi Dr, Suite 2800, Salt Lake City, UT 84113-1103 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
Find all providers in zip 84113 |
Taxonomy Code | 207L00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
1881125896 | Blain Chaise Housley | Anesthesiology | 30 N 1900 E # 3c444, Salt Lake City, UT 84132-3440 | 2017-03-22 |
1609225762 | Jason Douglas Williams | Anesthesiology | 1609225762, Salt Lake City, UT 84132-0002 | 2016-06-09 |
1104270438 | Kasinda Goodwin | Anesthesiology | 3425 S Paige Cir, Salt Lake City, UT 84109-3179 | 2016-04-22 |
1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
1952796526 | Peter Schoene | Anesthesiology | 30 N 1900 3c444, Salt Lake City, UT 84132-0001 | 2015-04-01 |
1487073169 | Ashka Rajul Shah | Anesthesiology | Department of Anesthesiology 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132-5045 | 2014-04-10 |
1639519390 | Daniel Justin Falk | Anesthesiology | University of Utah Hospital 30 North 1900, 1c412, Salt Lake City, UT 84132-0001 | 2013-06-26 |
1912240391 | Jie Luo | Anesthesiology | 1220 E 3900 S Ste 30, Salt Lake City, UT 84124-1377 | 2013-04-03 |
1740526169 | John B English | Anesthesiology | 3621 E Millcreek Canyon Rd, Salt Lake City, UT 84109-3852 | 2012-12-13 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84113 |
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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.