Tasha B Dickerson (NPI# 1255412052, PAC ID# 3476571860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255412052 |
| PAC ID by PECOS | 3476571860 |
| Professional Enrollment ID | I20051103001021 |
| Full Name | Tasha B Dickerson |
| Organization Legal Name | DOMINION MEDICAL ASSOCIATES, INC. |
| Address |
1510 N 28th St Suite 204 Richmond VA 23220 |
| Phone Number | 8042257177 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6406747609 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490094 | BON SECOURS RICHMOND COMMUNITY HOSPITAL |
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| 490032 | MEDICAL COLLEGE OF VIRGINIA HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 1510 N 28th St, Suite 204, Richmond, VA 23220 | 8042257177 | DOMINION MEDICAL ASSOCIATES, INC. |
| Organization Legal Name | DOMINION MEDICAL ASSOCIATES, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damien L Covington | Family Medicine | Dominion Medical Associates, Inc. | 1510 N 28th St, Suite 204, Richmond, VA 23220 |
| Richard A Jackson | Internal Medicine | Dominion Medical Associates, Inc. | 1510 N 28th St, Suite 204, Richmond, VA 23220 |
| Street Address |
1510 N 28TH ST SUITE 204 |
| City | RICHMOND |
| State | VA |
| Zip | 23220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula N Allocca | Nurse Practitioner | Bon Secours Memorial Regional Medical Center Inc | 1510 N 28th St, Richmond, VA 23223-5311 |
| Damien L Covington | Family Medicine | Dominion Medical Associates, Inc. | 1510 N 28th St, Suite 204, Richmond, VA 23220 |
| Lindley T Smith | Ophthalmology | 1510 N 28th St, Suite 201, Richmond, VA 23223-5311 | |
| Richard A Jackson | Internal Medicine | Dominion Medical Associates, Inc. | 1510 N 28th St, Suite 204, Richmond, VA 23220 |
| Charmaine N Elliott | Internal Medicine | Bon Secours-virginia Healthsource Inc | 1510 N 28th St, Suite 308, Richmond, VA 23223-5311 |
| Ashley H Sandridge | Nurse Practitioner | Bon Secours - Richmond Community Hospital, Incorporated | 1510 N 28th St, Suite 110, Richmond, VA 23223-5311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aradhana A Sood | Psychiatry | Mcv Associated Physicians | 1308 Sherwood Ave, Richmond, VA 23220-1210 |
| Neil A Sonenklar | Psychiatry | Mcv Associated Physicians | 1308 Sherwood Ave, Richmond, VA 23220-1210 |
| Cheryl A Al-mateen | Psychiatry | Mcv Associated Physicians | 1308 Sherwood Ave, Richmond, VA 23220-1210 |
| Vicki B Latham-solomon | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 2401 W Leigh St, Suite 200, Richmond, VA 23220-1328 |
| Cheryl Michelle Belle | Family Medicine | Bon Secours St Marys Hospital of Richmond Inc | 2401 W Leigh St, Suite 200, Richmond, VA 23220-1328 |
| Rishi K Bala | Family Medicine | Bon Secours St Marys Hospital of Richmond Inc | 2401 W Leigh St, Suite 200, Richmond, VA 23220-1328 |
| Roderick E Haithcock | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 2401 W Leigh St, Suite 200, Richmond, VA 23220-1328 |
| Lloyd A Bonner | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 2401 W Leigh St, Suite 200, Richmond, VA 23220-1328 |
| Ine-ibiye Priye Saka | Nurse Practitioner | Vernon J Harris East End Community Health Center | 1500 N Lombardy St, Richmond, VA 23220-1711 |
| Kevin J Green | Optometry | 2038 Monument Ave, Richmond, VA 23220-2708 | |
| Find all physicians in zip 23220 | |||
| City | RICHMOND |
| Zip Code | 23220 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RICHMOND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tasha B Dickerson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.