DR. JOHN ERVIN DICKSON (NPI# 1154467116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154467116 |
| Entity Type | Individual |
| Full Name | DR. JOHN ERVIN DICKSON |
| Credential | M.D. |
| Practice Address |
325 E Sonterra Blvd Suite 200 San Antonio TX 78258-4054 |
| Practice Telephone | 2104023069 |
| Practice Fax Number | 2104240631 |
| Mailing Telephone | 2104023069 |
| Mailing Fax Number | 2104240631 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | J7470 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0052HL | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417178062 | John Kent Dickson | Pharmacist | 4895 Bassett Creek Dr, Golden Valley, MN 55422-4169 | 2007-05-01 |
| 1225196215 | John Flint Dickson | Internal Medicine | 714 Bellevue Ave East, #401, Seatlle, WA 98102-5990 | 2006-12-04 |
| 1174691216 | John Anthony Dickson | Internal Medicine | 113 Riverbend Dr, Byram, MS 39272-9103 | 2006-11-30 |
| 1073059317 | John M Dickson | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2017-01-10 |
| 1912388174 | John Robert Dickson | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2015-06-14 |
| 1902292246 | John Caleb Dickson | Family Medicine | 2425 Dave Ward Dr Ste 401, Conway, AR 72034 | 2015-04-14 |
| 1790057685 | John Dickson | Pharmacist | 220 S Seneca Rd, Eugene, OR 97402-2725 | 2012-02-07 |
| Street Address |
325 E SONTERRA BLVD SUITE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073591749 | Dana Groh | Social Worker | 325 E Sonterra Blvd, Suite 230, San Antonio, TX 78258-4054 | 2006-01-04 |
| 1417347659 | Elizabeth Ann Mathes | Nurse Practitioner | 325 E Sonterra Blvd, Suite 200, San Antonio, TX 78258-4054 | 2015-01-26 |
| 1306247085 | Groh Counseling Pllc | Social Worker | 325 E Sonterra Blvd, Suite 230, San Antonio, TX 78258-4054 | 2014-09-11 |
| 1376980979 | John Dickson, Md, Pa | Internal Medicine | 325 E Sonterra Blvd, Ste 200, San Antonio, TX 78258-4054 | 2013-05-23 |
| 1194080200 | Vickie Jackson, Ph.d., Inc | Psychologist | 325 E Sonterra Blvd, 230, San Antonio, TX 78258-4054 | 2012-07-05 |
| 1245518711 | Kristin Story Held M D P A | Specialist | 325 E Sonterra Blvd, Ste 100, San Antonio, TX 78258-4054 | 2011-08-01 |
| 1841528940 | Inner Wellness Counseling and Consultation Pllc | Counselor | 325 E Sonterra Blvd, Suite 230, San Antonio, TX 78258-4054 | 2009-12-01 |
| 1164682183 | Mary Ellen Mcnaughton-cassill | Psychologist | 325 E Sonterra Blvd, Suite 230, San Antonio, TX 78258-4054 | 2008-06-12 |
| 1639357833 | Stone Oak Optical Inc | Durable Medical Equipment & Medical Supplies | 325 E Sonterra Blvd, Suite # 100, San Antonio, TX 78258-4054 | 2008-02-11 |
| 1740465046 | Hudson Counseling Services | Marriage & Family Therapist | 325 E Sonterra Blvd, Ste. #230, San Antonio, TX 78258-4054 | 2008-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1356966287 | All-american Allergy Asthma & Immunology Center | Internal Medicine | 1303 Mccullough Ave Ste 362, San Antonio, TX 78212-5620 | 2020-06-16 |
| 1154945913 | Primera Wellness LLC | Internal Medicine | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 |
| 1982244612 | Douglas Shawn Owens | Internal Medicine | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 |
| 1053872937 | Southern Texas Physicians,llc | Internal Medicine | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 |
| 1568929479 | Abc Medical Concierge LLC | Internal Medicine | 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 | 2019-02-27 |
| 1861972796 | Integrative Health Solution, LLC | Internal Medicine | 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 | 2018-08-20 |
| 1528553039 | Remington Wellness Group Dba Truemed Health Centers | Internal Medicine | 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 | 2018-06-27 |
| 1942733662 | Tasnim Islam | Internal Medicine | 12446 West Ave Ste 102, San Antonio, TX 78216-2530 | 2017-04-10 |
| 1154866135 | Chris Dire | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2016-12-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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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.