JENNIFER A DICKERSON (NPI# 1598887341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598887341 |
| Entity Type | Individual |
| Full Name | JENNIFER A DICKERSON |
| Credential | M.D. |
| Practice Address |
335 Glessner Ave Mansfield OH 44903-1240 |
| Mailing Address |
5400 Frantz Rd Suite 250 Dublin OH 43016-6102 |
| Practice Telephone | 5672417000 |
| Practice Fax Number | 5672417523 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35.082960 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2826820 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 410 W 10th Ave, Columbus, OH 432101240 | 6142934967 | 6142935614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723217 | Jennifer Ann Dickerson | Nurse Practitioner | 2545 Coachlite Dr, Tecumseh, MI 49286-9599 | 2015-06-26 |
| 1902162969 | Jennifer Eaves Dickerson | Occupational Therapist | 150 Willow Creek Dr Ste 107, Weatherford, TX 76085-3652 | 2012-04-04 |
| 1356498281 | Jennifer M Dickerson | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-04 |
| 1366421190 | Jennifer Nicole Dickerson | Genetic Counselor, MS | 13420 N Meridian St Ste 200, Carmel, IN 46032-1581 | 2006-01-11 |
| 1851941264 | Jennifer Nichole Dickerson | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-09-17 |
| 1528593233 | Jennifer Marie Dickerson | Physician Assistant | 4040 Highway 17, Suite 206, Murrells Inlet, SC 29576-5098 | 2017-05-01 |
| 1659737039 | Jennifer Dickerson | Peer Specialist | 41 N Broad St, Wellsville, NY 14895-1224 | 2016-01-14 |
| 1396010765 | Jennifer Dickerson | Counselor | 6750 Hillcrest Plaza Dr, Suite 221, Dallas, TX 75230-1400 | 2012-03-17 |
| 1649505819 | Jennifer Dickerson | Speech-Language Pathologist | 1140 W Main St, Attn: Rehabcare, Christiansburg, VA 24073-4222 | 2009-10-06 |
| 1154422491 | Jennifer Ann Dickerson | Physical Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2006-09-26 |
| Street Address |
335 GLESSNER AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203153 | Jose Joaquin Norberto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2005-05-23 |
| 1902404643 | Brian George | Pharmacist | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-10-14 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1780298422 | Garrett Brendan Stough | Nurse Anesthetist, Certified Registered | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1629696802 | Medcentral Health System | Pharmacy | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-07-14 |
| 1982231775 | Deidra Carolina Momeyer | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-03-24 |
| 1144857772 | Fabiana Patino | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-03-24 |
| 1144868910 | Amanda Marie Mcmullen | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-12-12 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1891347258 | Kassandra Lee Robinson | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851570709 | Lenehan Heart Healthcare, Inc | Internal Medicine | 1221 S Trimble Rd Bldg C-3, Mansfield, OH 44907-2211 | 2007-10-29 |
| 1134187529 | Nyan Win | Internal Medicine | 480 Glessner Avenue, Mansfield, OH 44903 | 2006-05-03 |
| 1366443657 | Gregory C. Heins | Internal Medicine | 680 Park Ave W, Mansfield, OH 44906-3706 | 2005-08-09 |
| 1144697178 | Precision Cardiac and Vascular Care, Pllc | Internal Medicine | 221 Regency Pkwy, Suite 105, Mansfield, TX 76063-5379 | 2015-08-25 |
| 1306176235 | Levi Andrew Rice Jr. | Internal Medicine | 851 Highway 287 N, Mansfield, TX 76063-2664 | 2009-12-26 |
| 1588895064 | Atish Pratap Mathur | Internal Medicine | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2009-08-02 |
| 1528207024 | Steven P Havard, Md, Pa | Internal Medicine | 1759 Broad Park Cir S, Suite 201, Mansfield, TX 76063-7833 | 2009-02-07 |
| 1710143458 | Manishkumar C Patel | Internal Medicine | 221 Regency Pkwy, Suite 105, Mansfield, TX 76063-5379 | 2008-08-01 |
| 1164586715 | Richland Cardiology | Internal Medicine | 1221 S Trimble Rd, Suite B2, Mansfield, OH 44907-2200 | 2006-12-20 |
| 1861550394 | Cardiology Partners, LLP | Internal Medicine | 851 Highway 287 N, Mansfield, TX 76063-2664 | 2006-12-05 |
| Find all providers in MANSFIELD | ||||
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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.