BENJAMIN C DICKERT (NPI# 1831388552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831388552 |
| Entity Type | Organization |
| Organization Name | BENJAMIN C DICKERT |
| Practice Address |
780 Chestnut Street Suite #8 Springfield MA 01107 |
| Practice Telephone | 4137363225 |
| Practice Fax Number | 4137363382 |
| Mailing Telephone | 4137363225 |
| Mailing Fax Number | 4137363382 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | DR. BENJAMIN C DICKERT (PODIATRIST) |
| Authorized Official Telephone | 4137363225 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PD1884 | MA | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BMC | 00000006878 | 01 |
| MA | 0310832 | 05 | |
| MA | HARVARD PILGRIM | 333305 | 01 |
| MA | TUFTS | 7390036 | 01 |
| BLUE CROSS GROUP | Y77346 | 01 | |
| MA | TUFTS | 0002099 | 01 |
| MA | 0362662 | 05 | |
| MA | BMC | 000000028039 | 01 |
| CT | CIGNA | 6332349 | 01 |
| MA | BLUE CROSS | Y71046 | 01 |
| MA | HARVARD PILGRIM | 33901 | 01 |
| MA | BLUE CROSS | Y70887 | 01 |
| Street Address |
780 CHESTNUT STREET SUITE #8 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700958840 | Andrea Marie Christopherson Mcdonough | Dietitian, Registered | 780 Chestnut Street, Suite 23, Springfield, MA 01107-1610 | 2006-11-14 |
| 1679705594 | Therapeutic Feet Inc | Prosthetic/Orthotic Supplier | 780 Chestnut Street, Springfield, MA 01107 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275856924 | Leonid Schreer | Podiatrist | 433 Briant Park Dr, Springfield, NJ 07081-2173 | 2010-03-09 |
| 1376677799 | Stuart L Kramer | Podiatrist | 7007 Backlick Ct, Springfield, VA 22151-3937 | 2007-03-15 |
| 1437282423 | James H Courniotes II | Podiatrist | 1786 Wilbraham Road, Springfield, MA 01119 | 2007-03-13 |
| 1760556765 | Edward Patrick Smith Jr. | Podiatrist | 148 Park Street, Springfield, VT 05156 | 2006-11-20 |
| 1528130705 | Stanley Spencer Lubeck | Podiatrist | 501 Wesley Rd, Springfield, PA 19064-2012 | 2006-11-14 |
| 1992808216 | Duane Brown | Podiatrist | 405 S Macarthur Blvd, Springfield, IL 62704-1742 | 2006-09-06 |
| 1942310651 | Franklin Vogel Jr. | Podiatrist | 3 N Brookside Road, Springfield, PA 19064 | 2006-08-30 |
| 1679583058 | Barry H Arons | Podiatrist | 6217 Old Keene Mill Ct, Springfield, VA 22152-2324 | 2006-08-09 |
| 1588693568 | Rose M Sundet | Podiatrist | 2733 E Battlefield St # 218, Springfield, MO 65804 | 2006-07-01 |
| 1124005699 | Foot Specialists Associates Inc | Podiatrist | 1786 Wilbraham Rd, Springfield, MA 01119 | 2005-12-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on BENJAMIN C DICKERT.
| 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.