Mark Thomas Erickson, M.D.
Psychiatry & Neurology, Psychiatry in Anchorage, AK. Individual provider (NPI-1).
NPI number1790799716
StatusActive
Last updated in NPPESOct 7, 2016
Details
- NPI
- 1790799716
- Entity type
- Individual (NPI-1)
- Name
- Mark Thomas Erickson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2006
- Last updated
- Oct 7, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 3995 | AK | Yes |
| 207Q00000X | Family Medicine | 3995 | AK | |
| 103T00000X | Psychologist | 3995 | AK |
Practice location
3700 Piper StAnchorage, AK 99508-4665
Phone 907-269-7152 · Fax 907-269-7246
Mailing address
3700 Piper StAnchorage, AK 99508-4665
Phone 907-269-7152 · Fax 907-269-7246
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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