M Ericksen is a Anesthesiology in Salt Lake City, Utah. M Ericksen practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for M Ericksen is 1952338808. The last update date is 2011-10-28.
M Ericksen's current location address is 100 N. Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016623578. The mailing address for M Ericksen is 100 N. Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M Ericksen |
|---|---|
| Address | 100 N. Mario Capecchi Dr, Salt Lake City, Utah |
| Phone Number | 8016623578 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952338808 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2011-10-28 |
Provider Mailing Address Detail
| Address | 100 N. Mario Capecchi Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131103 |
| Phone Number | 8016623578 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiology |
|---|---|
| Taxonomy | 207L00000X |
| Licence No | 363155-1205 |
|
Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77988 | UT | HEALTHY U | |
| 806196700 | ID | -- | |
| 120083600 | WY | -- | |
| 36315512000001 | UT | BCBS | |
| 693497 | UT | DESERET MUTUAL | |
| 878407 | AZ | -- | |
| 100504905 | UT | FIRST HEALTH | |
| 219176 | UT | ALTIUS | |
| 78899 | UT | PEHP | |
| 153221 | MT | -- |
Post Comment/ Review Below
What is the M Ericksen's 1952338808?
The M Ericksen's NPI (National Provider Identifier) Number is 1952338808. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of M Ericksen?
The M Ericksen is situated at 100 N. Mario Capecchi Dr, in the city of Salt Lake City, state of UT, with the zip code 841131103.
What is M Ericksen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for M Ericksen is Anesthesiology, and the taxonomy code that classifies this field of practice is 207L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952338808 to M Ericksen?
The Centers for Medicare & Medicaid Services originally issued the 1952338808 to M Ericksen on 2006-06-27.
As of what date was the information regarding M Ericksen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to M Ericksen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-28.