DR. CHARLES WAYNE DICKERSON (NPI# 1962433748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962433748 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WAYNE DICKERSON |
| Credential | MD |
| Practice Address |
1601 Brookwood Ave Duncan OK 73533-1360 |
| Practice Telephone | 5802523232 |
| Practice Fax Number | 5802524893 |
| Mailing Telephone | 5802523232 |
| Mailing Fax Number | 5802524893 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14590 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 731260610001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174223 | Charles Dickerson | Case Manager/Care Coordinator | 7240 Crowder Blvd Ste 202, New Orleans, LA 70127-1920 | 2018-11-29 |
| 1699181842 | Charles H Dickerson | Radiologic Technologist | 2208 Old Henderson Hwy, Tyler, TX 75702-6457 | 2014-07-09 |
| 1558701292 | Charles Earl Dickerson Jr. | Registered Nurse | 2005 Knight Lane Bldg H, Navmedsupcom Attn: Med Staff Services, Jacksonville, FL 32212-0140 | 2013-06-26 |
| Street Address |
1601 BROOKWOOD AVE |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723362 | Stefanie Alexis Dubicki | Physician Assistant | 1120 Us-81 N, Duncan, OK 73533 | 2019-11-06 |
| 1568935898 | Grace Elizabeth Peters | Physician Assistant | 1120 Us 81, Duncan, OK 73533 | 2019-01-09 |
| 1427406487 | Joseph Suarez | Behavioral Analyst | 23 N 8th, Duncan, OK 73533 | 2016-06-01 |
| 1386086148 | Andrea R Daughtrey | Behavioral Analyst | 209 S 21 St, Duncan, OK 73533 | 2013-07-22 |
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| 1336460468 | Dawn Price | Counselor | 7 1/2 N. 8th St, Duncan, OK 73533 | 2010-06-11 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1659560548 | Julia Gayle Case | Nurse Practitioner | 2004 North Hwy 81, Duncan, OK 73533 | 2007-10-17 |
| 1407060395 | Cynthia Annette Browning | Speech-Language Pathologist | 1400 Whisenant, Duncan, OK 73533 | 2007-05-09 |
| Find all providers in zip 73533 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104009299 | Solutions Practice Management | Family Medicine | 2210 Duncan Regional Loop Rd, Duncan, OK 73533-1564 | 2007-12-11 |
| 1982773685 | Sallie Jane Waters | Family Medicine | 1313 Jackie Rd., Duncan, OK 73533 | 2006-11-07 |
| 1861415085 | Mary Black Health System LLC | Family Medicine | 500 Squires Pointe, Duncan, SC 29334 | 2006-07-26 |
| 1902837826 | Paul W Kliewer | Family Medicine | 227 Main St., Duncan, AZ 85534 | 2006-07-06 |
| 1306872080 | Edward J Mea | Family Medicine | 500 Squires Pt, Duncan, SC 29334 | 2006-06-24 |
| 1881639466 | Douglas Wayne Whitehead | Family Medicine | 245 Parkway E, Duncan, SC 29334-9489 | 2006-06-18 |
| 1891733994 | Spartanburg Medical Center | Family Medicine | 1575 E Main Street, Duncan, SC 29334-9218 | 2006-06-02 |
| 1407823982 | Judith Marie Gilbreth | Family Medicine | 1330 N Harville Rd, Duncan, OK 73533-1514 | 2006-03-03 |
| 1568432102 | Richard Lucarelli | Family Medicine | 1575 E Main St, Duncan, SC 29334-9218 | 2006-01-25 |
| 1942289939 | Cynthia Ann Norman | Family Medicine | 1315 Jackie Rd, Duncan, OK 73533-1566 | 2006-01-10 |
| Find all providers in DUNCAN | ||||
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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.