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

Tyler Ericson

Individual provider Anesthesiology Physician · NPI 1316576317

Tyler Ericson is an Anesthesiology in Charlottesville, Virginia. Qualified in 2020, 6 years ago. Practices with Anesthesia Associates of Rock Hill PA, a 59-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2020
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Practice location Address checks out

1215 Lee St # 800710
Charlottesville, VA 22908-0816
Phone: (434) 982-0629
Fax: (434) 982-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 91475 (SC)

Record details

NPI number1316576317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address1215 Lee St # 800710, Charlottesville, VA 22908-0816

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Anesthesia Associates Of Rock Hill Pa — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charlottesville