MR. WALTER DALE DICKSON (NPI# 1003885120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003885120 |
| Entity Type | Individual |
| Full Name | MR. WALTER DALE DICKSON |
| Credential | DPM |
| Practice Address |
310 State Route 288 Ellwood City PA 16117 |
| Practice Telephone | 7247585564 |
| Practice Fax Number | 7247586251 |
| Mailing Telephone | 7247585564 |
| Mailing Fax Number | 7247586251 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC001379L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PALMETTO GBA - RAILROAD MEDICARE | P00472622 | 01 |
| Street Address |
310 STATE ROUTE 288 |
| City | ELLWOOD CITY |
| State | PA |
| Zip Code | 16117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295916153 | Walter D. Dickson Dpm | Durable Medical Equipment & Medical Supplies | 310 State Route 288, Ellwood City, PA 16117-5544 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103877 | Lisa Ann Smiley | Technician | 133 Hemlock Way, Ellwood City, PA 16117 | 2019-09-17 |
| 1396119780 | Adam Shrawder | Physical Therapist | 1677 Pa-65, Ellwood City, PA 16117 | 2015-11-23 |
| 1497093942 | Lucile A Harrell | Nurse Practitioner | 1677 State Rt 65, Ellwood City, PA 16117 | 2013-01-17 |
| 1124311709 | Ryan S. Beer | Physical Therapist | 1807 Mercer Road, Ellwood City, PA 16117 | 2011-05-16 |
| 1942328323 | Larry Lester Dolter | Chiropractor | Rt 288 310 2, Ellwood City, PA 16117 | 2007-03-26 |
| 1881721256 | Martin Charles Marion | Dentist | 731 Lawrence Ave, Ellwood City, PA 16117 | 2007-02-27 |
| 1710028832 | Mary Ann Dibiagio Do PC | Non-Pharmacy Dispensing Site | 1673 State Route 65, Ellwood City, PA 16117 | 2007-02-09 |
| 1952486482 | Christopher Panek | Podiatrist | 601 Crescent Ave, Ellwood City, PA 16117 | 2006-10-25 |
| 1699859785 | Timothy Burk | Specialist | 1677 State Route 65, Ellwood City, PA 16117 | 2006-10-25 |
| 1396835534 | Apple Occupational Heatlh Services, Inc. | Clinic/Center | 501 Jamison Avenue, Ellwood City, PA 16117 | 2006-10-16 |
| Find all providers in zip 16117 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952486482 | Christopher Panek | Podiatrist | 601 Crescent Ave, Ellwood City, PA 16117 | 2006-10-25 |
| 1770668204 | Christopher A Panek Dpm PC | Podiatrist | 601 Crescent Ave, Ellwood City, PA 16117 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674462 | Difranco Family Foot Care LLC | Podiatrist | 4044 Sandalwood Dr, Erie, PA 16506-4764 | 2020-09-16 |
| 1952916736 | Patrick J Rush | Podiatrist | 24 Woodstock Drive, Newtown, PA 18940 | 2020-09-09 |
| 1558980904 | Ralph Mazer | Podiatrist | 31 W Ashland St, Doylestown, PA 18901-4228 | 2020-04-15 |
| 1861032039 | Annalisa Donnelly | Podiatrist | 1000 Floral Vale Blvd #400, Morrisville, PA 19067 | 2020-01-15 |
| 1831736024 | Christopher A Panek Dpm PC | Podiatrist | 9000 Perry Hwy Ste 210, Pittsburgh, PA 15237-5367 | 2019-12-06 |
| 1912543109 | Kimberly Nguyen Dpm PC | Podiatrist | 1930 S Broad St Ste 19, Philadelphia, PA 19145-2328 | 2019-11-21 |
| 1821655861 | Dean M Ruday Dpm | Podiatrist | 2404 Bristol Road, Bensalem, PA 19020-6002 | 2019-05-24 |
| 1326601816 | John Scheland, Dpm PC | Podiatrist | 3 Abington Executive Park Ste 7, Clarks Summit, PA 18411-2269 | 2019-04-19 |
| 1790250033 | Gentle Touch Mobile Podiatry, LLC | Podiatrist | 128 Whistle Dr, Harrison City, PA 15636-1252 | 2018-10-12 |
| 1154802825 | Lisa Rhodes | Podiatrist | 5055 Swamp Rd Ste 203, Fountainville, PA 18923-9656 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
| City | ELLWOOD CITY |
| Zip Code | 16117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.