RUSSELL S DICKERSON MD (NPI# 1740367838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740367838 |
| Entity Type | Organization |
| Organization Name | RUSSELL S DICKERSON MD |
| Practice Address |
1101 N 19th Street Suite No 114 Abilene TX 79601 |
| Practice Telephone | 3256705320 |
| Practice Fax Number | 3256705329 |
| Mailing Telephone | 3256705320 |
| Mailing Fax Number | 3256705329 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RUSSELL DICKERSON (MD) |
| Authorized Official Telephone | 3256705320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
J1517 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1101 N 19TH STREET SUITE NO 114 |
| City | ABILENE |
| State | TX |
| Zip Code | 79601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114108362 | Ta Van Nguyen, M.d. | Psychiatry & Neurology | 1250 Nottingham Rd, Abilene, TX 79602-4233 | 2007-11-15 |
| 1821215237 | Russell S Dickerson | Psychiatry & Neurology | 1680 Antilley Rd Ste 250, Abilene, TX 79606-5247 | 2007-04-19 |
| 1619958469 | Ta Van Nguyen | Psychiatry & Neurology | 35 Windmill Cir, Abilene, TX 79606-5234 | 2005-11-09 |
| 1447741335 | Paul C. Harris, M.d., Pllc | Psychiatry & Neurology | 1702 S Clack St, Abilene, TX 79605 | 2018-05-25 |
| 1952806614 | Eye Link Technologies, LLC | Psychiatry & Neurology | 318 Cedar St, Abilene, TX 79601-5722 | 2018-03-26 |
| 1164741674 | Bonnie Hong Hayashi | Psychiatry & Neurology | 1924 Pine St, Suite 401, Abilene, TX 79601-2451 | 2010-05-24 |
| 1619120201 | Rexford K.anderson,jr,m.d.,p.a. | Psychiatry & Neurology | 402 Cypress St, Suite 609, Abilene, TX 79601-5139 | 2008-10-28 |
| 1215186531 | Krystin Calhoun Baker | Psychiatry & Neurology | 1100 N 19th St, Suite 200, Abilene, TX 79601-2344 | 2008-09-10 |
| 1396916037 | Antao Du | Psychiatry & Neurology | 1749 Pine St, Abilene, TX 79601-3043 | 2008-03-21 |
| 1922291145 | Paul Harris, M.d. | Psychiatry & Neurology | 1100 N 19th St, Ste 4b, Abilene, TX 79601-2344 | 2007-08-21 |
| Find all providers in ABILENE | ||||
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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.