Scott Michael Dickerson (NPI# 1114237914, PAC ID# 8527252808) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1114237914 |
| PAC ID by PECOS | 8527252808 |
| Professional Enrollment ID | I20101101000183 |
| Full Name | Scott Michael Dickerson |
| Organization Legal Name | ELYRIA ANESTHESIA INCORPORATED |
| Address |
860 E Broad St Suite I Elyria OH 44035-6542 |
| Phone Number | 4403238458 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7214902170 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360145 | UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 860 E Broad St, Suite I, Elyria, OH 44035-6542 | 4403238458 | ELYRIA ANESTHESIA INCORPORATED |
| Organization Legal Name | ELYRIA ANESTHESIA INCORPORATED |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Kyle Niemiec | Anesthesiology | Elyria Anesthesia Incorporated | 3700 Kolbe Rd, Lorain, OH 44053-1611 |
| Tamara Dionne Whitt | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 860 E Broad St, Suite I, Elyria, OH 44035-6542 |
| Jessica Anne Yager | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 630 E River St, Elyria, OH 44035-5902 |
| Safeta Sandy Hagen | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 630 E River St, Elyria, OH 44035-5902 |
| Steven H Lucius | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 3700 Kolbe Rd, Lorain, OH 44053-1611 |
| Allison E Vargo | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 3700 Kolbe Rd, Lorain, OH 44053-1611 |
| Virginia A Stevenson | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 860 E Broad St, Suite I, Elyria, OH 44035-6542 |
| Badri Wahab Zahreddine | Anesthesiology | Elyria Anesthesia Incorporated | 3700 Kolbe Rd, Lorain, OH 44053-1611 |
| Danette Joan Gissinger | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 3700 Kolbe Rd, Lorain, OH 44053-1611 |
| Timothy Nathan Boyd | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 3700 Kolbe Rd, Lorain, OH 44053-1611 |
| Street Address |
860 E BROAD ST SUITE I |
| City | ELYRIA |
| State | OH |
| Zip | 44035-6542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara Dionne Whitt | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 860 E Broad St, Suite I, Elyria, OH 44035-6542 |
| Virginia A Stevenson | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 860 E Broad St, Suite I, Elyria, OH 44035-6542 |
| Zihong Liu | Certified Registered Nurse Anesthetist (crna) | Elyria Anesthesia Incorporated | 860 E Broad St, Suite I, Elyria, OH 44035-6542 |
| Sana H Abumeri | Internal Medicine | 860 E Broad St, Elyria, OH 44035-6542 | |
| M Elaine Krosse | Podiatry | 860 E Broad St, Elyria, OH 44035-6542 | |
| Michael J Choban | Anesthesiology | Elyria Anesthesia Incorporated | 860 E Broad St, Suite I, Elyria, OH 44035-6542 |
| Bonnie V Stamatis | Internal Medicine | 860 E Broad St, Elyria, OH 44035-6542 | |
| Shirley L Cameron | Certified Registered Nurse Anesthetist | Elyria Anesthesia Incorporated | 860 E Broad St, Suite 1, Elyria, OH 44035-6542 |
| Debera E Moennich | Certified Registered Nurse Anesthetist | Elyria Anesthesia Incorporated | 860 E Broad St, Suite 1, Elyria, OH 44035-6542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Danielle Lencoski | Obstetrics/gynecology | Mercy Health Physicians Lorain LLC | 5054 Waterford Place Dr, Sheffield Village, OH 44035 |
| Roger Lee Friedman | Podiatry | 5321 Meadow Lane Ct, Sheffield Village, OH 44035-0600 | |
| Mary Ann Teitelbaum | Psychologist, Clinical | 5321 Meadow Lane Ct, Suite 5, Sheffield Village, OH 44035-0601 | |
| Kimberly Marie Nichelson | Podiatry | 5321 Meadow Lane Ct, Suite 22, Sheffield Village, OH 44035-0601 | |
| Philip R Copeland | Clinical Social Worker | 5321 Meadow Lane Ct, Suite 5, Sheffield Village, OH 44035-0601 | |
| Alok K Jain | Gastroenterology | Mercy Health Physicians Lorain LLC | 5077 Waterford Dr, Suite 305, Sheffield Village, OH 44035-0705 |
| Jason A Vanskyhock | Chiropractic | Universal Treatment and Recovery Center LLC | 42553 N Ridge Rd, Suite 8, Elyria, OH 44035-1046 |
| Gary A Vanskyhock | Chiropractic | Universal Treatment and Recovery Center LLC | 42553 N Ridge Rd, Suite 8, Elyria, OH 44035-1046 |
| Sarah Williams | Nurse Practitioner | 2106 N Ridge Rd, Elyria, OH 44035-1241 | |
| Brian C Studer | Chiropractic | 2106 N Ridge Rd, Elyria, OH 44035-1241 | |
| Find all physicians in zip 44035 | |||
| City | ELYRIA |
| Zip Code | 44035 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ELYRIA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Scott Michael 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.