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

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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