DR. MICHAEL G DICKINSON


Address: 2902 Bradford St Ne, Grand Rapids, MI 49525
Phone: 6164866577

DR. MICHAEL G DICKINSON (NPI# 1942289798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942289798
Entity Type Individual
Full Name DR. MICHAEL G DICKINSON
Credential MD
Practice Address 2902 Bradford St Ne
Grand Rapids
MI 49525
Mailing Address 100 Michigan St Ne
Mc 845
Grand Rapids
MI 49503-2560
Practice Telephone 6164866577
Practice Fax Number 6164860105
Enumeration Date 2006-01-11
Last Update Date 2018-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
4301067979 MI Allopathic & Osteopathic Physicians
Y 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
4301067979 MI Allopathic & Osteopathic Physicians

Other Providers MICHAEL DICKINSON

NPI Name Taxonomy Address Enumeration
1124521521 Michael Dickinson Physician Assistant 2301 Worth St, Hemphill, TX 75948-7216 2018-03-12
1962894964 Michael Dickinson Technician 2115 Genesse, Toledo, OH 43605 2015-02-27
1326001611 Michael W Dickinson Surgery 415 N Center St, Suite 102, Hickory, NC 28601-5036 2006-04-09

Office Location

Street Address 2902 BRADFORD ST NE
City GRAND RAPIDS
State MI
Zip Code 49525

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639445844 Matthew Hans Gonzalez Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2012-04-02
1356643027 Spectrum Health Hospitals Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2010-12-01
1417266685 Spectrum Health Primary Care Partners Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2010-10-05
1942523261 Susan Marie Dalrymple Nurse Practitioner 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2010-03-02
1306099973 Jacquelyn May Oliai Nurse Practitioner 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2008-10-28
1598914228 Laura Borst Braunohler Nurse Practitioner 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2008-09-18
1447411004 Milena Jani Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525 2008-06-17
1447442215 David Robert Fermin Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525 2007-08-15
1275742389 Renzo Ygor Loyaga-rendon Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2007-05-22
1841415098 Ryan Grayburn Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2007-04-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
1407389604 Kelly Jo Crabb Social Worker 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 2017-04-05
Find all providers in zip 49525

Taxonomy Information

Taxonomy Code 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639445844 Matthew Hans Gonzalez Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2012-04-02
1275742389 Renzo Ygor Loyaga-rendon Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2007-05-22
1841415098 Ryan Grayburn Internal Medicine 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 2007-04-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477168607 Rajendra Mehta, Md, PC Internal Medicine 823 E Michigan Ave # 30, Jackson, MI 49201-2401 2020-09-14
1780296699 Yoav Hammer Internal Medicine 1500 E Medical Center Dr, 2nd Floor, Cardiovascular Center, Ann Arbor, MI 48109-5853 2020-08-21
1891205969 Regents of The University of Michigan Internal Medicine 1500 E Medical Center Drive, 3rd Floor Taubman Ctr Recp C, Ann Arbor, MI 48109-5644 2017-10-03
1700396876 Regents of The University of Michgian Internal Medicine 8001 Challis Rd, Brighton, MI 48116-7446 2017-10-03

Competitor

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City GRAND RAPIDS
Zip Code 49525

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Dataset Information

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.

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