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

Gordon Todd Erickson, PA

Individual provider Physician Assistant · NPI 1194033530

Gordon Todd Erickson, PA is a Physician Assistant in Casper, Wyoming. Qualified in 2010, 16 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
16
Licensed in
WY
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5820 E 2nd St
Casper, WY 82609-4308
Phone: (307) 234-9037
Fax: (307) 234-9042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 501 (WY)

Record details

NPI number1194033530
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2010
Last updated in NPPESMarch 31, 2016
Mailing address5820 E 2nd St, Casper, WY 82609-4308

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Summit Memorial Medical Group Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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