DR. LARRY J DICKINSON (NPI# 1972583094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972583094 |
| Entity Type | Individual |
| Full Name | DR. LARRY J DICKINSON |
| Credential | D.O. |
| Practice Address |
100 E Johnson St Gallatin MO 64640-1338 |
| Mailing Address |
100 E Johnson St Po Box 98 Gallatin MO 64640-1338 |
| Practice Telephone | 6606632800 |
| Practice Fax Number | 6606633707 |
| Mailing Telephone | 6606632800 |
| Mailing Fax Number | 6606633707 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R7052 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 240880708 | 05 |
| Street Address |
100 E JOHNSON ST |
| City | GALLATIN |
| State | MO |
| Zip Code | 64640-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659463982 | Karen Joyce Coleman | Family Medicine | 1101 Weber Rd Suite 303, Farmington, MO 64640 | 2006-09-28 |
| 1902914682 | Stanley Earl Humphrey | Dentist | 307 S Main, Gallatin, MO 64640 | 2006-08-25 |
| 1982760179 | Community Ambulance District | Emergency Medical Technician, Paramedic | 204 E Corrine St, Gallatin, MO 64640-1006 | 2006-12-29 |
| 1013323807 | Daviess County Board for The Developmentally Disabled | Case Management | 109 E Jackson St, Gallatin, MO 64640-1147 | 2014-07-01 |
| 1083819239 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 212 N Main St, Gallatin, MO 64640-1150 | 2007-06-18 |
| 1528073053 | D H Davis Drug Co Inc | Pharmacy | 103 N Main St, Gallatin, MO 64640-1151 | 2006-07-31 |
| 1760415988 | Orourke Wellness Center PC | Chiropractor | 122 N Market St, Gallatin, MO 64640-1156 | 2006-07-09 |
| 1447334016 | Cindy Michelle O'rourke | Massage Therapist | 122 N Market St, Gallatin, MO 64640-1156 | 2006-10-24 |
| 1821358789 | Jacob Earl Humphrey | Dentist | 307 S Main St, Gallatin, MO 64640-1339 | 2012-05-24 |
| 1851917850 | Mackenzie Lane Morrison | Pharmacist | 403 S Main St, Gallatin, MO 64640-1434 | 2020-06-25 |
| Find all providers in zip 64640 | ||||
| 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 |
|---|---|---|---|---|
| 1538768031 | Chanler Korte | Family Medicine | 879 Greenlea Blvd Ste 103, Gallatin, TN 37066-3205 | 2020-10-26 |
| 1679951065 | Imed Urgent Care | Family Medicine | 940 Memory Ln, Suite 103, Gallatin, TN 37066-7161 | 2015-05-18 |
| 1366571523 | Kimberly Jean Snyder | Family Medicine | 880 Greenlea Blvd Ste E, Gallatin, TN 37066-3228 | 2007-03-05 |
| 1356435861 | Robert Flaherty | Family Medicine | 214 East Mendenhall, Gallatin Community Clinic, Gallatin, MT 59715 | 2006-10-02 |
| 1528096484 | Charles M Carr | Family Medicine | 291 Bayhill Dr, Gallatin, TN 37066-4741 | 2006-06-29 |
| 1073585642 | Joe D Cox | Family Medicine | 262 E Main St, Gallatin, TN 37066-2961 | 2006-02-07 |
| 1871570903 | Sanford Jonathan Lax | Family Medicine | 1720 Nashville Pike Ste 100, Gallatin, TN 37066-3154 | 2005-12-29 |
| 1861485039 | Kenneth R Case | Family Medicine | 300 Steam Plant Rd., Suite 300, Gallatin, TN 37066 | 2005-08-23 |
| 1750826012 | One To One Health Pllc | Family Medicine | 1531 Hunt Club Blvd, #304, Gallatin, TN 37066-6095 | 2016-12-22 |
| 1780128330 | One To One Health Pllc | Family Medicine | 240 Albert Gallatin Ave, Gallatin, TN 37066-2051 | 2016-12-15 |
| Find all providers in GALLATIN | ||||
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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.