Provider Type Icon

ELIZABETH ANN ERICKSON MD PROFESSIONAL LLC NPI 1104015247


NPI Information

NPI: 1104015247
Provider Name: ELIZABETH ANN ERICKSON, MD, PROFESSIONAL LLC

Doing Business As: MOUNTAIN SHADOWS FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 06D2279103

Address:
5731 SILVERSTONE TER
SUITE 250
COLORADO SPRINGS, CO
ZIP 80919
Phone: (719) 535-9862
Get Directions

ELIZABETH ANN ERICKSON, MD, PROFESSIONAL LLC is a family medicine in Colorado Springs, CO. The provider is 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. ELIZABETH ANN ERICKSON, MD, PROFESSIONAL LLC NPI is 1104015247. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain Shadows Family Medicine.

The provider's business location address is:

5731 SILVERSTONE TER
SUITE 250
COLORADO SPRINGS, CO
ZIP 80919-575
Phone: (719) 535-9862

The provider's authorized official is Elizabeth Ann Erickson .
The authorized official title is Owner and has the following contact phone number (719) 535-9862.

The CLIA number assigned to this NPI record is 06D2279103 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 6/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine36216COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1518848MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.