RIAN JASON DICKSTEIN (NPI# 1407026487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407026487 |
Entity Type | Individual |
Full Name | RIAN JASON DICKSTEIN |
Credential | MD |
Practice Address |
7580 Buckingham Blvd Suite 110 Hanover MD 21076-3181 |
Mailing Address |
25 Crossroads Dr Suite 306 Owings Mills MD 21117-5421 |
Practice Telephone | 4107609400 |
Practice Fax Number | 4107871911 |
Mailing Telephone | 4437382872 |
Enumeration Date | 2008-03-06 |
Last Update Date | 2017-03-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | D073974 | MD | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | N5652 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 310803100 | 05 |
Street Address |
7580 BUCKINGHAM BLVD SUITE 110 |
City | HANOVER |
State | MD |
Zip Code | 21076-3181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891148219 | Summit Ambulatory Surgical Center, LLC | Clinic/Center | 7580 Buckingham Blvd, Suite 100, Hanover, MD 21076-3181 | 2016-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023500766 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7706 Milestone Pkwy, Hanover, MD 21076 | 2018-05-30 |
1598287419 | Robert Ehrhardt | Social Worker | 7801 Nauitan Ct, Hanover, MD 21076 | 2017-07-12 |
1639699630 | Andrea K Kamara | Registered Nurse | 7566 Teague Road, Hanover, MD 21076 | 2017-06-21 |
1093265878 | Maryland Partnership for Prevention Inc | Allergy & Immunology | 7467 New Ridge Road, Suite 130, Hanover, MD 21076 | 2016-10-05 |
1720460678 | Michael David Berger | Podiatrist | 7240 Parkway Dr Ste 350, Hanover, MD 21076 | 2015-06-26 |
1306254941 | Eyefit Vision Centers | Optometrist | 7550 Teague Road, Suite 114, Hanover, MD 21076 | 2014-07-28 |
1972917813 | Jeongwon Shin | Psychiatry & Neurology | 7257 Parkway Dr Ste 250, Hanover, MD 21076 | 2014-06-18 |
1487070868 | Tywanna Hamilton | Nurse Practitioner | 7556 Teague Rd Ste 210, Hanover, MD 21076 | 2014-03-10 |
1891127866 | Elyce D. Millery | Dentist | 7581 Buckingham Blvd Ste 100, Hanover, MD 21076 | 2013-08-01 |
1588990725 | Katoya Lee | Nurse Practitioner | 7698 Dorchester Blvd Ste 204, Hanover, MD 21076 | 2009-10-22 |
Find all providers in zip 21076 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184607681 | Andrew Charles Kramer | Urology | 7580 Buckingham Blvd Ste 110, Hanover, MD 21076-3208 | 2005-11-29 |
1356340640 | Adams-hanover Urology Assoc., P.C. | Urology | 195 Stock St, Suite 206, Hanover, PA 17331-2266 | 2005-07-19 |
1558368019 | William R Bast | Urology | 100 Penn St, Hanover, PA 17331-1956 | 2005-06-30 |
1174001259 | Pinnacle Health Medical Services | Urology | 250 Fame Ave Ste 235, Hanover, PA 17331-1576 | 2018-08-01 |
1508158718 | Mark Vicente Silva | Urology | 7580 Buckingham Blvd Ste 110, Hanover, MD 21076-3208 | 2011-05-05 |
1528098910 | Edward K Leventhal | Urology | 250 Fame Ave, Suite 235, Hanover, PA 17331-1587 | 2006-07-03 |
1093793549 | Hanover Urology Associates Inc | Urology | 100 Penn St, Hanover, PA 17331-1956 | 2006-01-05 |
1891794111 | Richard E Jones | Urology | 195 Stock St, Suite 206, Hanover, PA 17331-2266 | 2005-07-19 |
1962401299 | Robert M Tuliszewski | Urology | 195 Stock St, Suite 206, Hanover, PA 17331-2266 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902440076 | Suburban Maryland Urology Associates LLC | Urology | 6001 Montrose Rd Ste 1040, Rockville, MD 20852-4874 | 2019-11-01 |
1063904282 | Siobhan Ivy Telfer | Urology | Uob/nci, National Institutes of Health, Building 10, Room 1-5940w, Bethesda, MD 20892 | 2018-06-04 |
1760904379 | Peninsula Urology Associates, Pa | Urology | 1342 S Division St Unit 401, Salisbury, MD 21804-6921 | 2017-07-14 |
1568844744 | Sunil Patel | Urology | 600 N Wolfe St Bldg 2nd, Baltimore, MD 21287-0005 | 2015-06-23 |
1871903864 | Michael H. Kane, M.d., LLC | Urology | 688 Poole Rd Ste A, Westminster, MD 21157-6179 | 2014-04-30 |
1336567353 | Katherine Smentkowski | Urology | 10710 Charter Dr Ste 130, Columbia, MD 21044-3258 | 2014-04-07 |
1083032445 | Boston Medical Group- Maryland, P.C. | Urology | 5500 Knoll Drive, Suite 220, Columbia, MD 21045 | 2014-04-02 |
1588089593 | Gmb Urology, PC | Urology | 6495 New Hampshire Ave. Suite #203, Hyattsville, MD 20783 | 2014-02-27 |
1780028167 | Brian P Neuman | Urology | 6535 N Charles St Fl 5, Baltimore, MD 21204 | 2013-04-29 |
1205270667 | Sandeep Gurram | Urology | 10 Center Drive Building 10 Room 1-5940w, Bethesda, MD 20892-8424 | 2013-04-28 |
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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.