MR. RICHARD TIMOTHY DICKERSON JR. (NPI# 1518033612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518033612 |
| Entity Type | Individual |
| Full Name | MR. RICHARD TIMOTHY DICKERSON JR. |
| Credential | CRNA |
| Practice Address |
315 W 15th St Swmc - Anesthesia Liberal KS 67901-2455 |
| Practice Telephone | 6206296682 |
| Mailing Telephone | 6206296682 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2013-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | 199844 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 55580 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 1-08001 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 999999 | 05 |
| Street Address |
315 W 15TH ST SWMC - ANESTHESIA |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180054 | Carmelita Caedo Md Radiology Pa | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2006-01-28 |
| 1942867627 | Rachel Andreas | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1285291955 | Lauren Taylor Boyce | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1306329438 | Marlon S Bazan | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-14 |
| 1548743636 | Elyse A Bigler | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-13 |
| 1730674235 | Southwest Radiological Consultants LLC | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2018-06-27 |
| 1568979557 | Southwest Medical Center | Anesthesiology | 315 W 15th St, Liberal, KS 67901-2455 | 2017-12-29 |
| 1083124481 | Unnati Basnyat | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2017-10-11 |
| 1932652773 | Pegasus Emergency Physicians, LLC | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-07-28 |
| 1720435746 | Bishal Bista | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295848224 | Jeffery Hodge Reid Sr. | Nurse Anesthetist, Certified Registered | 315 W 15th St, Liberal, KS 67901-2455 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914277 | Steel Anesthesia Services Pa | Nurse Anesthetist, Certified Registered | 411 N Campus Dr, Garden City, KS 67846-6195 | 2020-08-26 |
| 1821637398 | Kari Anne Nunn | Nurse Anesthetist, Certified Registered | Anesthesia Associates of Central Kansas, P.a., 200 S. 5th St, Salina, KS 67401 | 2020-01-02 |
| 1700431228 | Kari Kreger | Nurse Anesthetist, Certified Registered | 508 Douglas St, Jetmore, KS 67854 | 2019-08-02 |
| 1821509753 | Kolton Levi Tanner Alexander | Nurse Anesthetist, Certified Registered | Rooks County Heath Center 1210 N Washington, Plainville, KS 67663 | 2017-10-18 |
| 1245740018 | Kansas Endoscopy LLC | Nurse Anesthetist, Certified Registered | 3121 N Webb Rd Ste 107, Wichita, KS 67226-8119 | 2017-10-06 |
| 1922520725 | Landmark Anesthesia of Kansas LLC | Nurse Anesthetist, Certified Registered | 6650 W 110th St # 300, Overland Park, KS 66211-1501 | 2017-07-13 |
| 1033648340 | Alexis Zecy | Nurse Anesthetist, Certified Registered | 10203 Bond St, Overland Park, KS 66214-2724 | 2017-06-08 |
| 1386183481 | Melissa Albers | Nurse Anesthetist, Certified Registered | 412 N Mulberry Ct, Gardner, KS 66030-1723 | 2017-02-22 |
| 1700334067 | Superior Anesthesia | Nurse Anesthetist, Certified Registered | 2913 Yaeger Dr, Winfield, KS 67156-8533 | 2016-09-15 |
| 1518316744 | Bree Howard | Nurse Anesthetist, Certified Registered | 2101 Tomahawk Rd, Mission Hills, KS 66208-1950 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
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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.