MR. SCOTT MICHAEL DICKERSON (NPI# 1114237914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114237914 |
Entity Type | Individual |
Full Name | MR. SCOTT MICHAEL DICKERSON |
Credential | CRNA |
Practice Address |
630 E River St Elyria OH 44035-5902 |
Mailing Address |
860 E Broad St Suite I Elyria OH 44035-6542 |
Practice Telephone | 4403297536 |
Mailing Telephone | 4403238458 |
Mailing Fax Number | 4403237900 |
Enumeration Date | 2010-10-14 |
Last Update Date | 2010-10-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | 318582 | OH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053425272 | Scott Elliott Dickerson | Dentist | 25-27 E Dickerson St, Suite 201, Dover, NJ 07801-4655 | 2006-08-17 |
1114571080 | Scott Dickerson | Behavior Technician | 600 Anton Blvd Ste 1100, Costa Mesa, CA 92626-7100 | 2019-07-30 |
1255454591 | Scott Dickerson | Physical Therapy Assistant | 10 Parsonage Rd Ste 508, Edison, NJ 08837-2475 | 2007-04-10 |
Street Address |
630 E RIVER ST |
City | ELYRIA |
State | OH |
Zip Code | 44035-5902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841299039 | Emh Regional Medical Center | General Acute Care Hospital | 630 E River St, Elyria, OH 44035-5902 | 2005-07-19 |
1467069989 | James Kellogg II | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-09-29 |
1326651761 | Vicki J Sexstella | Respiratory Therapist, Registered | 630 E River St, Elyria, OH 44035-5902 | 2020-08-25 |
1003434952 | Bretzyl M Liscoe | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-07-08 |
1760009633 | Ashley Tobicash | Family Medicine | 630 E River St, Elyria, OH 44035-5902 | 2020-06-26 |
1144843673 | Johnna Diaz | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-19 |
1295357911 | Denise N Dalton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-15 |
1568094530 | Lori Clark | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-02-07 |
1467083501 | Debora Petani | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-01-28 |
1487292272 | Amy S Newton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2019-12-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
Find all providers in zip 44035 |
Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669587911 | Arlene G Agra | Nurse Anesthetist, Certified Registered | 860 East Broad Street, Suite I, Elyria, OH 44035 | 2006-08-20 |
1851315089 | Karen M Patterson | Nurse Anesthetist, Certified Registered | 5319 Hoag Dr., Elyria, OH 44035-1494 | 2006-07-27 |
1750339396 | Wendy L Wise | Nurse Anesthetist, Certified Registered | 630 East River Street, Elyria, OH 44035-5902 | 2006-05-05 |
1477554046 | Kathleen Niederhelman | Nurse Anesthetist, Certified Registered | 860 E Broad St, Elyria, OH 44035-6542 | 2005-08-09 |
1619971041 | Susan Grace Cahill | Nurse Anesthetist, Certified Registered | 5319 Hoag Drive, Elyria, OH 44035-1494 | 2005-06-13 |
1609408608 | Devora Elisheva Schwartz | Nurse Anesthetist, Certified Registered | 860 E Broad St Ste I, Elyria, OH 44035-6542 | 2020-02-07 |
1003387051 | Jessica Anne Yager | Nurse Anesthetist, Certified Registered | 630 E River St, Elyria, OH 44035-5902 | 2018-12-16 |
1376027243 | Allison M Plas | Nurse Anesthetist, Certified Registered | 630 E River St, Elyria, OH 44035-5902 | 2018-09-18 |
1982127940 | Joseph Anthony Constantino | Nurse Anesthetist, Certified Registered | 630 E River St, Elyria, OH 44035-5902 | 2017-07-21 |
1639627532 | Aneta Rapacz | Nurse Anesthetist, Certified Registered | 630 E River St, Elyria, OH 44035-5902 | 2016-09-20 |
Find all providers in ELYRIA |
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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.