Dale C Dickinson Jr. (NPI# 1518030493, PAC ID# 7113995721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
Nation Provider ID (NPI) | 1518030493 |
PAC ID by PECOS | 7113995721 |
Professional Enrollment ID | I20091118000669 |
Full Name | Dale C Dickinson Jr. |
Organization Legal Name | ST LUKE'S CLINIC, LLC |
Address |
709 N Lincoln Ave Jerome ID 83338-1851 |
Phone Number | 2088149500 |
Gender | M |
Credential | CNA |
Graduation Year | 1982 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
Group Practice PAC ID | 1052217478 |
Number of Group Practice Members | 218 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
709 N Lincoln Ave, Jerome, ID 83338-1851 | 2088149500 | ST LUKE'S CLINIC, LLC |
Organization Legal Name | ST LUKE'S CLINIC, LLC |
Physicians | 35 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael D Lance | Psychiatry | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Rajan Gosain | Psychiatry | St Luke's Clinic, LLC | 228 Shoup Ave W, Twin Falls, ID 83301-5022 |
Tina M Peer | Nurse Practitioner | St Luke's Clinic, LLC | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 |
Brian C Birch | Pediatric Medicine | St Luke's Clinic, LLC | 762 N College Rd, Suite Aandb, Twin Falls, ID 83301-5392 |
Corinne Bartschi | Nurse Practitioner | St Luke's Clinic, LLC | 775 Pole Line Rd W, Twin Falls, ID 83301-5819 |
John James D Angelo | Emergency Medicine | St Luke's Clinic, LLC | 801 Pole Line Rd W, Twin Falls, ID 83301-5810 |
Kenneth A Cogen | Nephrology | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Randall J Skeem | Internal Medicine | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Martha Elizabeth Franz | Family Practice | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
John L Shuss | General Surgery | St Luke's Clinic, LLC | 2001 Bench Rd, Pocatello, ID 83201-2033 |
Street Address |
709 N LINCOLN AVE |
City | JEROME |
State | ID |
Zip | 83338-1851 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas H Zepeda | Emergency Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
Dean A Nelson | Family Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
Brian L Johnson | Family Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
Rex E Wortham | Emergency Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
Richard A Pierson | Family Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
Name | Specialty | Organization | Address |
---|---|---|---|
James S Irwin | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Melissa D Merrill | Certified Nurse Midwife (cnm) | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Alice R Trabert | Nurse Practitioner | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Joshua W Kern | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Lori J Wortham | Physician Assistant | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Nicole L Ruske | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Yolanda S Sedano | Physician Assistant | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Mildred A Gaitan-gonzalez | Clinical Social Worker | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Catherine A Doyle | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
Laura M Johnson | Chiropractic | 600 N Lincoln Ave, Jerome, ID 83338-1850 | |
Find all physicians in zip 83338 |
City | JEROME |
Zip Code | 83338 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
City + Specialty | JEROME + CERTIFIED REGISTERED NURSE ANESTHETIST |
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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.