David Alan Erickson, MD
Pediatrics in Fort Walton Beach, FL. Individual provider (NPI-1).
NPI number1942390232
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1942390232
- Entity type
- Individual (NPI-1)
- Name
- David Alan Erickson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2006
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- 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 |
|---|---|---|---|---|
| 208000000X | Pediatrics | ME152070 | FL | Yes |
Practice location
1005 Mar Walt DrFort Walton Beach, FL 32547-6707
Phone 850-863-8203 · Fax 850-863-8113
Mailing address
1005 Mar Walt DrFort Walton Beach, FL 32547-6707
Phone 850-863-8150 · Fax 850-863-4152
Is something wrong?
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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