PAUL A DICKINSON (NPI# 1912137175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912137175 |
| Entity Type | Individual |
| Full Name | PAUL A DICKINSON |
| Credential | CRNA |
| Practice Address |
709 N Lincoln Ave Jerome ID 83338-1851 |
| Practice Telephone | 2083244301 |
| Practice Fax Number | 2083249529 |
| Mailing Telephone | 2083244301 |
| Mailing Fax Number | 2083249529 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 20013 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639128101 | Paul B Dickinson | Internal Medicine | 2550 University Ave W, Suite 423 South, St Paul, MN 55114 | 2006-05-10 |
| 1245213958 | Paul J Dickinson | Ophthalmology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-28 |
| Street Address |
709 N LINCOLN AVE |
| City | JEROME |
| State | ID |
| Zip Code | 83338-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138783 | Brian Lee Johnson | Family Medicine | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2005-10-18 |
| 1609414051 | Troy M Jackman | Pharmacist | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2019-12-17 |
| 1891165569 | Anne B Fullmer | Nurse Practitioner | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2015-10-06 |
| 1366874877 | St Luke's Magic Valley Regional Medical Center Ltd | General Acute Care Hospital | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2013-08-07 |
| 1730511254 | St Lukes Magic Valley Regional Medical Center Ltd | Medicare Defined Swing Bed Unit | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2013-08-07 |
| 1700053774 | St Benedicts Fmc Physician Assistants | Physician Assistant | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2008-05-09 |
| 1083833933 | Thomas Henry Zepeda | Personal Emergency Response Attendant | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2007-04-25 |
| 1639211634 | St. Benedicts Family Medical Center | Long Term Care Hospital | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2007-02-13 |
| 1750489647 | Richard Emery Lally | Emergency Medicine | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2006-09-21 |
| 1902856727 | St Benedicts Family Medical Center | Skilled Nursing Facility | 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2006-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1316035512 | Johnson Chiropractic Clinic | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338 | 2006-10-11 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| Find all providers in zip 83338 | ||||
| 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 |
|---|---|---|---|---|
| 1134764293 | Steven J Berg Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 360 E Mallard Dr Ste 125, Boise, ID 83706-3941 | 2019-11-13 |
| 1013482207 | Griffin Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1157 Call Pl, Pocatello, ID 83201-4008 | 2018-10-04 |
| 1134630320 | Highline Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1225 Old Oregon Rd, Soda Springs, ID 83276-5608 | 2017-10-16 |
| 1598208795 | Ryan Steed | Nurse Anesthetist, Certified Registered | 4248 E Tahiti St, Meridian, ID 83646-6341 | 2016-11-21 |
| 1689039844 | John Meyers | Nurse Anesthetist, Certified Registered | 1080 Terra Ave, Twin Falls, ID 83301-4712 | 2015-12-15 |
| 1972976637 | Richardson Enterprises, Inc. | Nurse Anesthetist, Certified Registered | 319 115th St, Orofino, ID 83544-9375 | 2015-11-03 |
| 1467863829 | Grant Gundersen | Nurse Anesthetist, Certified Registered | 646 W 300 S, Blackfoot, ID 83221-6334 | 2014-05-19 |
| 1871918318 | West Idaho Anesthesia, LLP | Nurse Anesthetist, Certified Registered | 3115 Medical Dr, Caldwell, ID 83605-6972 | 2014-02-20 |
| 1871925057 | Dewey Michael Driscoll | Nurse Anesthetist, Certified Registered | 333 North 18th, Bldg A, Pocatello, ID 83201 | 2013-07-30 |
| 1225473069 | Brinton Anesthesia Group Pllc | Nurse Anesthetist, Certified Registered | 1828 S Millenium Way, Meridian, ID 83642-5036 | 2013-05-07 |
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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.