RICHARD DICKERMAN (NPI# 1174565048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174565048 |
| Entity Type | Individual |
| Full Name | RICHARD DICKERMAN |
| Credential | M.D. |
| Practice Address |
1411 N Beckley Ave Pav IIi, Suite 268 Dallas TX 75203-1259 |
| Practice Telephone | 2149474400 |
| Practice Fax Number | 2149474436 |
| Mailing Telephone | 2149474400 |
| Mailing Fax Number | 2149474436 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | E7053 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 8DF390 | 01 |
| Street Address |
1411 N BECKLEY AVE PAV III, SUITE 268 |
| City | DALLAS |
| State | TX |
| Zip Code | 75203-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481246 | Sarah Lynn Helfand | Pediatrics | 1411 N Beckley Ave, Suite 164, Dallas, TX 75203-1259 | 2005-07-18 |
| 1003321936 | Kathleen Ubina | Pharmacist | 1411 N Beckley Ave, Dallas, TX 75203-1259 | 2017-12-14 |
| 1245743624 | Whitney Lee Mcclung | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203 | 2017-11-08 |
| 1780116129 | Kylie Rhea Rutherford | Physician Assistant | 1411 N Beckley Ave, Pavillion IIi, Suite 152, Dallas, TX 75203-1259 | 2017-04-03 |
| 1437695863 | Lisa Montgomery | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2017-01-09 |
| 1477916922 | Jillian Robinson | Physician Assistant | 1411 N Beckley Ave, Suite 363, Dallas, TX 75203-1259 | 2016-04-01 |
| 1720445638 | Head & Neck Surgery of North Texas Pllc | Oral & Maxillofacial Surgery | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2016-01-22 |
| 1316322423 | Kelley Lynn Hanna | Nurse Practitioner | 1411 N Beckley Ave, Pavillion 3 Ste 152, Dallas, TX 75203-1259 | 2015-07-30 |
| 1063896520 | Pinnacle Anesthesia Consultants, Pllc | Anesthesiology | 1411 N Beckley Ave, Pav. IIi, Suite 152, Dallas, TX 75203-1259 | 2015-07-15 |
| 1306228291 | Sarah Breanne Smith | Nurse Practitioner | 1411 N Beckley Ave, Pav IIi Ste#152, Dallas, TX 75203 | 2015-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1609381607 | Andy Hall | Surgery | 821 Peavy Rd, Dallas, TX 75218-2151 | 2017-12-12 |
| 1215389234 | Tayyaba Maqbool Malik | Surgery | Ut Southwestern Medical Center 5323 Blvd, Dallas, TX 75390-0001 | 2016-07-02 |
| 1629435516 | Premier Health Specialists | Surgery | 10740 N Central Expy Ste 710, #710, Dallas, TX 75231-2161 | 2016-01-22 |
| 1679948715 | Tiffany Horrigan | Surgery | 5323 Harry Hines Blvd # Mc9159, Dallas, TX 75390-7208 | 2015-12-01 |
| 1184007460 | Brandon Levy | Surgery | 2140 Medical District Dr, 2067, Dallas, TX 75235-8077 | 2015-07-03 |
| 1679951511 | Jamaal Louis Benjamin | Surgery | 751 S Cesar Chavez Blvd, Dallas, TX 75201-5821 | 2015-05-12 |
| 1114314655 | Rachel Cox | Surgery | 5323 Harry Hines Blvd Dept of Surgery, Dallas, TX 75390-7208 | 2015-04-22 |
| 1811304173 | Mirza Baig Md Pllc | Surgery | 9101 Lbj Freeway, Ste 710, Dallas, TX 75243-1912 | 2014-07-18 |
| 1861804973 | Michael Sutker, M.d., P.a. | Surgery | 7777 Forest Ln Ste A214, Dallas, TX 75230-2556 | 2014-05-22 |
| Find all providers in DALLAS | ||||
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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.