MEDICARE: CHRISTOPHER C ERICKSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	17086	NE
2	2080P0202X	Pediatric Cardiology Physician	17086	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508861790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER C ERICKSON M.D.

Provider Business Mailing Address
First Line	:	16253 CALIFORNIA ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68118-2509
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 DODGE ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-4113
Country	:	US
Telephone Number	:	402-955-4350
Fax Number	:	402-955-4356

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	11/20/2025

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Directions to “ CHRISTOPHER C ERICKSON M.D.” Practice Location

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