DR. MARC DOUGLAS ERICKSON MD
NPI 1265939268
Student in an Organized Health Care Education/Training Program in Danville, PA

Q: What is Marc Erickson's NPI number?

The NPI number for Marc Erickson is 1265939268. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Q: What is Marc Erickson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Erickson was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2018PECOS Enrolled

100 N ACADEMY AVE, DANVILLE, PA 17822(800) 275-6401 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jun 11, 2024 (2 updates tracked since 2024).

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About Dr. Marc Douglas Erickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARC DOUGLAS ERICKSON MD (NPI 1265939268) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265939268

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MARC DOUGLAS ERICKSONCredential: MD

Location Address100 N ACADEMY AVEDanville, PA 17822-2147

Mailing Address100 N Academy AveDanville, PA 17822-9800 · (800) 275-6401

Phone(800) 275-6401

Sole ProprietorNo

Enumeration DateApril 7, 2018

Last NPPES UpdateMay 28, 20262 updates tracked since enumeration

NPPES CertifiedMay 28, 2026

✔ NPI 1265939268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 111953 (GA)

100 N ACADEMY AVE, Danville, PA 17822

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Secondary Practice Locations 2

Location 1975 E 3rd St # 112Chattanooga, TN 37403-2147 · Phone (423) 778-7817

Location 2200 S Enota Dr NE Ste 480Gainesville, GA 30501-3473 · Phone (770) 219-0950

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc Douglas Erickson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TARA JEAN LOUX MD

Surgery (Pediatric Surgery)