Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. MITCHELL D ERICKSON
Active
Individual
MR. MITCHELL D ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2438
AZ
363A00000X
Physician Assistant
2438
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE
AZ
01
—
453051001
GROUP HEALTH
AZ
05
—
758013
—
AZ
01
—
860373636
HUMANA
AZ
01
—
AW1436
HEALTHNET
AZ
Enumeration date
12/09/2005
Last updated
11/14/2023
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