Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ethan J Erickson, MD

Individual provider Emergency Medicine Physician · NPI 1689315426

Ethan J Erickson, MD practises Emergency Medicine in Phoenix, Arizona. Graduated from University of Texas Medical School at San Antonio in 2022, 4 years ago. Practices with Minidoka Memorial Hospital, a 39-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
4
Trained at
University of Texas Medical School at San Antonio
Licensed in
ID, UT
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 14194131-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2271959 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689315426
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2022 (4 years in practice)
Group practice Minidoka Memorial Hospital — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Minidoka Memorial Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.

Other providers in Phoenix