Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Matthew Campbell Ericksen, DO

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1285956797

Dr. Matthew Campbell Ericksen, DO is an Otolaryngology in Bolivar, Missouri. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2010, 16 years ago. Practices with ENT and Allergy Associates of Florida, LLC, a 227-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
MO
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1155 W Parkview St Ste 2J
Bolivar, MO 65613-8279
Phone: (417) 328-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence 2012015105 (MO)

Record details

NPI number1285956797
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 25, 2010
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address1801 Se Hillmoor Dr Ste B-105, Port St Lucie, FL 34952-7545

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2010 (16 years in practice)
Group practice Ent And Allergy Associates Of Florida, Llc — 227 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount