DR. DOUGLAS J DICKSON (NPI# 1083649008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083649008 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS J DICKSON |
| Credential | DPM |
| Practice Address |
792 N Main St North Syracuse NY 13212-1644 |
| Practice Telephone | 3154524670 |
| Practice Fax Number | 3155794670 |
| Mailing Telephone | 3154524670 |
| Mailing Fax Number | 3155794670 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N004816 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01337159 | 05 | |
| NY | GHI | 620006599 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093918245 | Douglas Darko Dickson | Orthopaedic Surgery | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2007-06-06 |
| Street Address |
792 N MAIN ST |
| City | NORTH SYRACUSE |
| State | NY |
| Zip Code | 13212-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003215450 | Liane Brown | Physical Therapist | 792 N Main St, Ste 100c, North Syracuse, NY 13212-1644 | 2014-08-21 |
| 1992132195 | Nathan Charles Loughlin | Physical Therapist | 792 N Main St, Ste 100c, North Syracuse, NY 13212-1644 | 2013-10-02 |
| 1154665024 | Nicole Heisler | Physical Therapy Assistant | 792 N Main St, Ste 100c, North Syracuse, NY 13212-1644 | 2012-11-16 |
| 1063700698 | Jennifer Lynnrushak Baldwin | Nurse Practitioner | 792 N Main St, North Syracuse, NY 13212-1644 | 2011-07-18 |
| 1083928972 | Cny Marriage & Family Therapy Place | Marriage & Family Therapist | 792 N Main St, Suite 200e, North Syracuse, NY 13212-1644 | 2010-08-03 |
| 1164745774 | Primary Physical Therapy Pllc | Physical Therapist | 792 N Main St, Ste 100c, North Syracuse, NY 13212-1644 | 2010-03-10 |
| 1205069960 | Andrea Whalen Westman | Physical Therapist | 792 N Main St, Ste 100c, North Syracuse, NY 13212-1644 | 2009-08-28 |
| 1346496981 | Danielle Lyn Andrew | Physical Therapist | 792 N Main St, Ste 100c, North Syracuse, NY 13212-1644 | 2008-08-14 |
| 1942323696 | Eyecare Ophthalmology Pllc | Eyewear Supplier (Equipment, not the service) | 792 N Main St, Suite 200b, North Syracuse, NY 13212-1644 | 2007-04-09 |
| 1225132285 | N & N Village Pharmacy Inc | Pharmacy | 792 N Main St, North Syracuse, NY 13212-1644 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845749 | Branches of Growth Mental Health Counseling, Pllc | Counselor | 3709 Brewerton Rd, Syracruse, NY 13212 | 2019-01-24 |
| 1821574070 | Nadia Marie James | Licensed Practical Nurse | 7175 Rose Wood Circle, North Syracuse, NY 13212 | 2018-07-11 |
| 1306364534 | Shonna Jolene Brodhead | Social Worker | Brightpath Counseling, 7266 Buckley Road, North Syracuse, NY 13212 | 2017-09-08 |
| 1477915189 | Karen Filapello | Speech-Language Pathologist | 320 Gateway Park Drive, @ Precision Contractors, N. Syracuse, NY 13212 | 2016-03-22 |
| 1285017095 | Lacey Foster | Skilled Nursing Facility | 5991 East Taft Rd, North Syracuse, NY 13212 | 2015-06-30 |
| 1346500345 | Wahienhawi Hall | Counselor | 7266 Buckley Rd., Bright Path Counseling Center, North Syracuse, NY 13212 | 2012-05-23 |
| 1316253768 | Jenny Barnum | Nurse Practitioner | 5232 Witz Dr, North Syracuse, NY 13212 | 2010-08-24 |
| 1063738797 | Gregory 'greg' Procopio | Registered Nurse | 308 Charlane Parkway, North Syracuse, NY 13212 | 2010-04-20 |
| 1316142243 | Carrie Marie Vincent | Specialist | 401north Main Street, North Syracuse, NY 13212 | 2007-06-20 |
| 1245307594 | Lynda Robin Kreitzer | Podiatrist | 316 South Main Street, North Syracuse, NY 13212 | 2006-11-30 |
| Find all providers in zip 13212 | ||||
| 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 |
|---|---|---|---|---|
| 1154769628 | Hossain Mohammed Rouf | Podiatrist | 514 S Bay Rd, North Syracuse, NY 13212-3627 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH SYRACUSE |
| Zip Code | 13212 |
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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.