ELIZABETH A DICK (NPI# 1255375192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255375192 |
| Entity Type | Individual |
| Full Name | ELIZABETH A DICK |
| Credential | NP |
| Practice Address |
400 Matthew St Suite 302 Marietta OH 45750-1644 |
| Mailing Address |
Po Box 449 Marietta OH 45750-0449 |
| Practice Telephone | 7405685207 |
| Practice Fax Number | 7405685297 |
| Mailing Telephone | 7403744500 |
| Mailing Fax Number | 7403745887 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 57927 | WV | Allopathic & Osteopathic Physicians |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP-05417 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RRMCR | P00719631 | 01 |
| OH | ANTHEM | 000000592451 | 01 |
| OH | 2888157 | 05 | |
| OH | ANTHEM | 000000699820 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174089106 | Elizabeth Dick | Peer Specialist | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-02-14 |
| 1457701773 | Elizabeth Dick | Social Worker | 4525 Lemmon Ave, Suite 200, Dallas, TX 75219-2145 | 2016-06-17 |
| 1235275181 | Elizabeth Wright Dick | Registered Nurse | 710 N Main St, Clinton, TN 37716-3143 | 2007-01-29 |
| Street Address |
400 MATTHEW ST SUITE 302 |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639641 | Joseph R Mayo | Internal Medicine | 400 Matthew St, Ste 302, Marietta, OH 45750-1644 | 2005-06-14 |
| 1164970919 | Jessica Starling | Nurse Practitioner | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2016-09-21 |
| 1073984829 | Kristeva Jo Knab | Physician Assistant | 400 Matthew St, Suite 401, Marietta, OH 45750-1644 | 2015-10-19 |
| 1033588405 | Alyse Shapaka | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-09-16 |
| 1982072054 | Chandler Leann Myers | Nurse Practitioner | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750 | 2015-09-08 |
| 1487021200 | Brian P. Peppel | Physician Assistant | 400 Matthew St, Suite 200, Marietta, OH 45750-1644 | 2015-08-27 |
| 1548676778 | Jenny M Daubert | Physician Assistant | 400 Matthew St, Suite 303, Marietta, OH 45750-1644 | 2014-07-09 |
| 1568895993 | Amy L Albrecht | Physician Assistant | 400 Matthew St, Strecker Cancer Center, Marietta, OH 45750-1644 | 2013-08-21 |
| 1609145242 | Lakyn Allison Merrifield | Physician Assistant | 400 Matthew St, Suite 302, Marietta, OH 45750-1644 | 2011-12-28 |
| 1578848941 | Cathy J. Lee | Nurse Practitioner | 400 Matthew St, Suite 305, Marietta, OH 45750-1644 | 2011-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674062 | Ann Sabah Oliveira | Nurse Practitioner | 252 Weatherstone Pkwy, Marietta, GA 30068-3486 | 2019-11-26 |
| 1003372293 | Tanisha Leonard | Nurse Practitioner | 2371 Wilderness Way, Marietta, GA 30066-5753 | 2019-02-13 |
| 1235376260 | Hutchison Surgical Assisting Incorporated | Nurse Practitioner | 3090 Rio Montana Dr, Marietta, GA 30066-4048 | 2009-01-13 |
| 1285268904 | Winston Douglas II | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-03-03 |
| 1679106298 | Aimee Bolstein Cornell | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-02-21 |
| 1336785732 | Faith Webster | Nurse Practitioner | 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 | 2019-11-20 |
| 1780228361 | Patrick Warren Parkman | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2019-11-06 |
| 1679123798 | Ashley Dawn Amon | Nurse Practitioner | 677 Church St Ne Ste 100, Marietta, GA 30060-1101 | 2019-09-19 |
| 1407314669 | Allison Renee Heinrich | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2019-03-06 |
| 1356819569 | Nicole Heather Johnson | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2018-11-06 |
| Find all providers in MARIETTA | ||||
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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.