Patrick C Dickerson (NPI# 1467718619, PAC ID# 5799083432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1467718619 |
| PAC ID by PECOS | 5799083432 |
| Professional Enrollment ID | I20190829001050 |
| Full Name | Patrick C Dickerson |
| Organization Legal Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Address |
1000 S 52nd St Mercy Clinic Orthopedic Rogers Rogers AR 72758-8610 |
| Phone Number | 4792719607 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0648177873 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040010 | MERCY HOSPITAL NORTHWEST ARKANSAS |
| Address | Phone | Organization |
|---|---|---|
| 1000 S 52nd St, Mercy Clinic Orthopedic Rogers, Rogers, AR 72758-8610 | 4792719607 | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Organization Legal Name | MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES |
| Physicians | 250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Lynn Sather | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 515 Enterprise Dr, 300 Mercy Clinic Behavioral Health En, Lowell, AR 72745-8982 |
| Melinda S Tucker | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72712-4589 |
| Dominic Amadeo Jacobelli | Sports Medicine | Mercy Health Northwest Arkansas Communities | 1000 S 52nd St, Mercy Clinic Orthopedic Rogers, Rogers, AR 72758-8610 |
| Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 1110 W Robinson Ave, Mercy Clinic Family Medicine W. R, Springdale, AR 72764-6233 |
| Kali Michelle Eddy | Nurse Practitioner | Mercy Health Northwest Arkansas Communities | 2100 S 54th St, Mercy Clinic Urology S 54th S, Rogers, AR 72758-8169 |
| Megan E Busch | Family Medicine | Mercy Health Northwest Arkansas Communities | 3101 Se 14th St, Bentonville, AR 72712-4900 |
| Manikandan Rajagopal | Internal Medicine | Mercy Health Northwest Arkansas Communities | 2710 Rife Medical Lane, Rogers, AR 72758-1452 |
| Robert Thaxton Wells | Gastroenterology | Mercy Health Northwest Arkansas Communities | 1 Mercy Way, Mercy Clinic Primary Care Bella V, Bella Vista, AR 72714-3000 |
| Raja Sekhar Dondeti | Family Medicine | Mercy Health Northwest Arkansas Communities | 4100 Sw I St, 100 Mercy Clinic Pediatrics I Street, Bentonville, AR 72713-0200 |
| Terryl J Ortego | Gastroenterology | Mercy Health Northwest Arkansas Communities | 116 W Monroe Ave, Mercy Clinic Gastroenterology Mon, Lowell, AR 72745-9682 |
| Street Address |
1000 S 52ND ST MERCY CLINIC ORTHOPEDIC ROGERS |
| City | ROGERS |
| State | AR |
| Zip | 72758-8610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominic Amadeo Jacobelli | Sports Medicine | Mercy Health Northwest Arkansas Communities | 1000 S 52nd St, Mercy Clinic Orthopedic Rogers, Rogers, AR 72758-8610 |
| Andreas J Chen | Orthopedic Surgery | Mercy Health Northwest Arkansas Communities | 1000 S 52nd St, Mercy Clinic Orthopedic Rogers, Rogers, AR 72758-8610 |
| John D Mertz | Orthopedic Surgery | Mercy Health Northwest Arkansas Communities | 1000 S 52nd St, Mercy Clinic Orthopedic Rogers, Rogers, AR 72758-8610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick Nicholas Day Iii | Podiatry | Brooke A Bisbee Dpm Pa | 200 S 20th St B, Rogers, AR 72758-1100 |
| Brooke A Bisbee | Podiatry | Brooke A Bisbee Dpm Pa | 200 S 20th St B, Rogers, AR 72758-1100 |
| Nancy Mary Lee | Podiatry | Brooke A Bisbee Dpm Pa | 200 S 20th St B, Rogers, AR 72758-1100 |
| Bobby Ray Linville | Clinical Social Worker | Midamericare Pllc | 301 S 24th St, Innisfree Health and Rehab, Rogers, AR 72758-1116 |
| Kaitlyn R Stambaugh | Physical Therapy | Hill and Ironside Ltd | 201 S 19th St, Suite S, Rogers, AR 72758-1123 |
| Katherine Shook | Clinical Social Worker | Pt Concepts Pllc | 204 S 24th St, Rogers, AR 72758-1129 |
| Audrey A Adams | Clinical Social Worker | Pt Concepts Pllc | 204 S 24th St, Rogers, AR 72758-1129 |
| Pamela J. Tannehill | Clinical Social Worker | Pt Concepts Pllc | 204 S 24th St, Rogers, AR 72758-1129 |
| Kristie Morgan | Clinical Social Worker | Pt Concepts Pllc | 204 S 24th St, Rogers, AR 72758-1129 |
| Debra K Bauer | Clinical Social Worker | Pt Concepts Pllc | 204 S 24th St, Rogers, AR 72758-1129 |
| Find all physicians in zip 72758 | |||
| City | ROGERS |
| Zip Code | 72758 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ROGERS + ORTHOPEDIC SURGERY |
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| 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.