NPI age
19 years
Enumerated 2006-11-07
● Active
Type 1 · Individual
DR. Ty Bolton Erickson, MD
Erickson is 1 of 27 obstetrics & gynecology providers in Idaho Falls and 1 of 228 in Idaho.
Primary specialty
Obstetrics & Gynecology
Plus 3 subspecialties
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-09-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 228 active obstetrics & gynecology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
1
In the 42% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
808 Pancheri Drive
Idaho Falls, ID 834023344
Mailing address
2184 Channing Way Pmb #135
Idaho Falls, ID 834048034
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
-
Obstetrics & GynecologyA subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 003678800 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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