DR. BRIAN GLENN DICKSON (NPI# 1215908710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215908710 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GLENN DICKSON |
| Credential | M.D. |
| Practice Address |
1416 E Matthews Ave Suite 200 Jonesboro AR 72401-4362 |
| Practice Telephone | 8709321820 |
| Practice Fax Number | 8709726712 |
| Mailing Telephone | 8709321820 |
| Mailing Fax Number | 8709726712 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | E2747 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 142999001 | 05 | |
| MO | MISSOURI MEDICAID | 1215908710 | 01 |
| AR | RAILROAD MEDICARE | 200041938 | 01 |
| Street Address |
1416 E MATTHEWS AVE SUITE 200 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124099841 | Spencer Hart Guinn | Orthopaedic Surgery | 1416 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4362 | 2006-01-30 |
| 1063909182 | Susan Hageman | Student in an Organized Health Care Education/Training Program | 1416 E Matthews Ave, Jonesboro, AR 72401-4362 | 2018-04-14 |
| 1053843631 | Mary R Hobbs | Physician Assistant | 1416 E Matthews Ave, Jonesboro, AR 72401-4362 | 2017-04-01 |
| 1073053260 | Gina C Powell | Registered Nurse | 1416 E Matthews Ave, Jonesboro, AR 72401-4362 | 2017-03-07 |
| 1558714063 | Amanda Heringer | Dietitian, Registered | 1416 E Matthews Ave, St. Bernards Health and Wellness, Jonesboro, AR 72401-4362 | 2016-07-20 |
| 1124366018 | Ann E. Graeber | Dietitian, Registered | 1416 E Matthews Ave, Jonesboro, AR 72401-4362 | 2013-01-28 |
| 1396041901 | Allison D Billings | Physician Assistant | 1416 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4362 | 2011-01-28 |
| 1851511703 | Jeremy Paul Swymn | Orthopaedic Surgery | 1416 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4362 | 2007-04-25 |
| 1063487809 | Dickson Orthopedics, P.a. | Orthopaedic Surgery | 1416 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4362 | 2006-02-22 |
| 1003881855 | Spencer H. Guinn, M.d. P.a. | Orthopaedic Surgery | 1416 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4362 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578840237 | Bill T. Shanlever | Orthopaedic Surgery | 1103 Wilkins Ave, Jonesboro, AR 72401 | 2011-11-09 |
| 1164618526 | James L Schrantz M.d. P.a. | Orthopaedic Surgery | 1000 E Matthews Ave Ste D, Jonesboro, AR 72401-4344 | 2007-09-19 |
| 1538131784 | James Schrantz | Orthopaedic Surgery | 1000d East Matthews Ave, Jonesboro, AR 72401-4307 | 2006-02-02 |
| 1124099841 | Spencer Hart Guinn | Orthopaedic Surgery | 1416 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4362 | 2006-01-30 |
| 1225036924 | John Franklin Ball | Orthopaedic Surgery | 300 Carson St, Jonesboro, AR 72401-3104 | 2005-07-07 |
| 1437698776 | Orthopedic Solutions, PC | Orthopaedic Surgery | 7823 Spivey Station Blvd, Suite 300, Jonesboro, GA 30236-2886 | 2017-02-20 |
| 1174923478 | Southern Crescent Physicians Group, Inc. | Orthopaedic Surgery | 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA 30236-2900 | 2014-08-25 |
| 1235561341 | St. Bernards Orthopedic Associates, Inc. | Orthopaedic Surgery | 1007 E Matthews Ave, Jonesboro, AR 72401-4308 | 2013-07-31 |
| 1124463807 | Ronald Angelo Sismondo Jr. | Orthopaedic Surgery | 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401-4362 | 2013-05-07 |
| 1932428471 | Opeyemi Elaine Lamikanra | Orthopaedic Surgery | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2010-05-24 |
| Find all providers in JONESBORO | ||||
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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.