MATTHEW C DICKSON (NPI# 1659663466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659663466 |
| Entity Type | Individual |
| Full Name | MATTHEW C DICKSON |
| Credential | DO |
| Practice Address |
2950 S Maryland Pkwy Las Vegas NV 89109-2204 |
| Mailing Address |
Po Box 36900 Las Vegas NV 89133-6900 |
| Practice Telephone | 7022401215 |
| Practice Fax Number | 7022437531 |
| Mailing Telephone | 7022401215 |
| Mailing Fax Number | 7022437531 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2017-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
DO2164 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750578118 | Matthew Dickson | Chiropractor | 20269 Smoky Hill Rd, Unit J, Centennial, CO 80015 | 2007-10-01 |
| 1457388720 | Matthew Douglas Dickson | Emergency Medicine | 1628 Palm Ave, San Diego, CA 92154-1027 | 2006-06-26 |
| 1760913131 | Matthew E Dickson | Psychologist | 1662 Village Grn, Crofton, MD 21114-2014 | 2017-03-27 |
| 1588806749 | Matthew Dickson | Internal Medicine | 3142 Horizon Rd Ste 110, Rockwall, TX 75032-7810 | 2009-04-01 |
| 1437321502 | Matthew Price Dickson | Psychologist | 1441 E Maple Ave, Burton, MI 48529-2059 | 2008-03-29 |
| 1164621397 | Matthew Robert Dickson | Dentist | 601 E Georgia St, Woodruff, SC 29388-1953 | 2007-07-17 |
| 1629018031 | Matthew Dickson | Emergency Medicine | 500 S Cleveland Ave, Westerville, OH 43081-8971 | 2006-06-07 |
| 1528021706 | Matthew Jordan Dickson | Otolaryngology | 2 Broad Street Plz, Adirondack Ent, Glens Falls, NY 12801-4363 | 2006-04-10 |
| Street Address |
2950 S MARYLAND PKWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89109-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129893 | Aanshu Aggarwal Shah | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2005-07-26 |
| 1346655107 | Richard Andrew Teh | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2014-06-30 |
| 1134565625 | Samuel Nyon | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2013-05-11 |
| 1043575186 | Yeonsoo James Kim | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2012-07-04 |
| 1548565690 | May Yu-ting Huang | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2011-01-21 |
| 1376859876 | Sarah Elysse Kym | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2010-08-23 |
| 1497071773 | Michael Hudson | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2010-04-12 |
| 1861717084 | Nevada Choice Med Inc | Clinical Medical Laboratory | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2010-03-30 |
| 1013169366 | Ho Viet Nguyen | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2008-10-17 |
| 1295909968 | Daniel Christian Zurcher | Radiology | 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 | 2008-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820816 | Vivian Latoza Villasfer | Technician | 2770 South Maryland Parkway, Suite 205b, Las Vegas, NV 89109 | 2020-04-21 |
| 1235758236 | Happy Life Home Health Services Inc | Chore Provider | 2770 S Maryland Pkwy Suite 205-b, Las Vegas, NV 89109 | 2020-04-10 |
| 1346890662 | Jaylin Armour | Technician | 2770 S Maryland Pkwy Suite 108b Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-18 |
| 1104475003 | Jasmine Thomas | Technician | 2770 S Maryland Pkwy Suite 108 B-g Las Vegas, Nv 89109, Las Vegas, NV 89109 | 2019-09-04 |
| 1982258331 | Melanee Gregory | Technician | 2770 S Maryland Okey Suite 108b, Suite 108b, Las Vegas, NV 89109 | 2019-07-24 |
| 1851877583 | Eric Darnell Thompson Jr. | Community/Behavioral Health | 2556 Shrewood Street, Unit 21, Las Vegas, NV 89109 | 2018-07-16 |
| 1144717117 | Emerging Vision Inc | Technician/Technologist | Mirage Hotel, 3400 Las Vegas Blvd S, Mirage Hotel, Las Vegas, NV 89109 | 2018-04-16 |
| 1013404110 | Emerging Vision Inc | Technician/Technologist | Mandalay Bay Resort (lobby), 3950 Las Vegas Blvd S, Mandalay Bay Resort (lobby), Las Vegas, NV 89109 | 2018-04-16 |
| 1750881736 | Amirelys Hernandez Diaz | Technician | 2770 S. Maryland Pkwy, Ste 108b-g, Las Vegas, NV 89109 | 2018-02-16 |
| 1972036663 | Ashley Murray | Registered Nurse | 2700 S Las Vegas Blvd #1506, Las Vegas, NV 89109 | 2017-04-10 |
| Find all providers in zip 89109 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1346860624 | Smi Imaging LLC | Radiology | 7455 W Washington Ave Ste 120, Las Vegas, NV 89128-4338 | 2020-04-16 |
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| 1114563095 | Smi Imaging LLC | Radiology | 7540 Oso Blanca Rd Ste 140, Las Vegas, NV 89149-1417 | 2019-11-26 |
| 1396381273 | Smi Imaging LLC | Radiology | 7610 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-6761 | 2019-11-26 |
| 1740826627 | Smi Imaging LLC | Radiology | 3061 S Maryland Pkwy Ste 102, Las Vegas, NV 89109-6226 | 2019-11-26 |
| 1366000622 | 6radiology | Radiology | 11266 Parleys Cone Ct, Las Vegas, NV 89135-1839 | 2019-06-03 |
| 1396271698 | Cheryl Jayne | Radiology | 2225 Scarlet Rose Dr, Las Vegas, NV 89134-5905 | 2017-05-04 |
| 1174997407 | Sutter Valley Medical Foundation | Radiology | 2995 American River Ln, Las Vegas, NV 89135-1713 | 2015-11-24 |
| 1467879205 | Ross Leon Prujan | Radiology | 11663 Glowing Sunset Ln, Las Vegas, NV 89135-1659 | 2014-03-18 |
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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.