MRS. ERIN L MICENHEIMER PA-C
NPI 1871897207
Physician Assistant - Medical in Wood River, IL

Active since December 28, 2010
1702 VAUGHN RD, WOOD RIVER, IL 62095(618) 259-3321 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Erin L Micenheimer Pa-c NPPES

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

MRS. ERIN L MICENHEIMER PA-C (NPI 1871897207) is an individual medical provider in Wood River, Illinois, licensed in Illinois (085004262) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1871897207
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ERIN L MICENHEIMERCredential: PA-C
Location Address1702 VAUGHN RDWood River, IL 62095-1898
Mailing Address1702 Vaughn RdWood River, IL 62095-1898 · (618) 259-3321
Sole ProprietorNo
Enumeration DateDecember 28, 2010
Last NPPES UpdateApril 12, 2012
NPI 1871897207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085004262
1702 VAUGHN RD, Wood River, IL 62095

Other Names 1

Former Name (1)Miss Erin L Dunn Pa-c

Other Providers at the Same Location NPPES 5

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

Chiropractor
1702 VAUGHN RD
WOOD RIVER, IL 62095
Non-Pharmacy Dispensing Site
1702 VAUGHN RD
WOOD RIVER, IL 62095
Physical Medicine & Rehabilitation (Pain Medicine)
1702 VAUGHN RD
WOOD RIVER, IL 62095
Pediatrics
1702 VAUGHN RD
WOOD RIVER, IL 62095
Chiropractor
1702 VAUGHN RD, SUITE 4
WOOD RIVER, IL 62095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Micenheimer's NPI number?

The NPI number for Erin Micenheimer is 1871897207. It was assigned to this individual provider in the NPPES registry on December 28, 2010. The provider is also known as Miss Erin L Dunn Pa-C.

Where is Erin Micenheimer located?

Erin Micenheimer practices at 1702 Vaughn Rd, Wood River, IL 62095. The listed phone number is (618) 259-3321.

What is Erin Micenheimer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Erin Micenheimer was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.