JONATHAN DAVID DICKSON (NPI# 1487110474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487110474 |
| Entity Type | Individual |
| Full Name | JONATHAN DAVID DICKSON |
| Practice Address |
627 Turtle Creek Dr Tyler TX 75701-1832 |
| Mailing Address |
2002 Magnolia Dr Tyler TX 75701-4534 |
| Practice Telephone | 9035932539 |
| Mailing Telephone | 9035309867 |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13777 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 492 Foster Chapel Rd, Searcy, AR 721439605 | 9035307986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629398425 | Jonathan Munger Dickson | Dentist | 6588 E Main St, Farmington, NM 87402-5122 | 2010-06-03 |
| 1063430619 | Jonathan L Dickson | Internal Medicine | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| Street Address |
627 TURTLE CREEK DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554673 | James F. Cabell IIi | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2005-08-10 |
| 1861933954 | Sabra L Dixon | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2017-03-09 |
| 1568914984 | Ariel Hortillosa Temporal | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2016-11-02 |
| 1811323108 | Tori Burns | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2013-09-19 |
| 1285926659 | Justin D Sacks | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701 | 2011-05-04 |
| 1689963357 | Jose Luis Enriquez | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2011-04-04 |
| 1093016487 | Marta D Stanley | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-11-16 |
| 1578879151 | Blake A Watson | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-08-20 |
| 1104141399 | Eric Weissmann | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-03-31 |
| 1487828596 | Charles D. Crum | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129997 | Elizabeth Niedrauer | Physician Assistant | 2314 S Kennedy Ave, Tyler, TX 75701-5242 | 2020-06-25 |
| 1629489042 | Lifetime Health Center | Physician Assistant | 1420 Wsw Loop 323, Suite 100, Tyler, TX 75701-9347 | 2014-05-20 |
| 1407273428 | East Texas Physician Assistant Services | Physician Assistant | 5380 Old Bullard Rd Ste 600-125, Tyler, TX 75703-3607 | 2014-03-27 |
| 1023356524 | Vitality Center | Physician Assistant | 14444 Eastside Rd, Tyler, TX 75707-6724 | 2013-01-18 |
| 1790029007 | John M Mclean | Physician Assistant | 3700 Mcdonald Rd, Apt 260, Tyler, TX 75701-6253 | 2012-11-27 |
| 1124058524 | David Beck | Physician Assistant | 1133 Medical Dr, Tyler, TX 75701-2130 | 2006-07-03 |
| 1467444141 | Thomas R Scholler | Physician Assistant | 703 S Fleishel Ave, Tyler, TX 75701-2015 | 2005-08-18 |
| 1376535054 | Stephanie S Carter | Physician Assistant | 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 | 2005-08-18 |
| 1992797799 | Matthew M Hand | Physician Assistant | 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 | 2005-08-17 |
| 1518962299 | Nina Beth Partin | Physician Assistant | 910 E Houston St, Ste 550, Tyler, TX 75702-8369 | 2005-06-17 |
| Find all providers in TYLER | ||||
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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.