DR. MICHAEL PHILIP DICK (NPI# 1013936814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013936814 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PHILIP DICK |
| Credential | M.D. |
| Practice Address |
3898 New Vision Dr Fort Wayne IN 46845 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604255750 |
| Practice Fax Number | 2604255755 |
| Mailing Telephone | 2602666013 |
| Mailing Fax Number | 2604585831 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01041905 | IN | Allopathic & Osteopathic Physicians |
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
01041905 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100460690 | 05 | |
| OH | 2024786 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679794846 | Michael R Dick | Dentist | 240 Stratton Road, Rutland, VT 05701 | 2007-05-02 |
| 1558406538 | Michael Scott Dick | Radiology | 2141 26th St Unit 301, San Francisco, CA 94107-4414 | 2007-02-20 |
| 1376150714 | Michael Dick | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-09-29 |
| 1912345430 | Michael David Dick | Family Medicine | 111 Brewster St, Fcc Team B, Pawtucket, RI 02860-4474 | 2013-06-06 |
| 1912133935 | Michael Robert Dick | Dentist | 3901 Dutchmans Ln, Suite 201, Louisville, KY 40207-4722 | 2009-06-04 |
| 1467514026 | Michael D. Dick | Internal Medicine | 2828 Highway 31 S, Decatur, AL 35603-1510 | 2006-12-13 |
| 1184704199 | Michael R Dick | Anesthesiology | 1492 E Broad St, Columbus, OH 43205-1546 | 2006-10-16 |
| 1063432102 | Michael Stuart Dick | Dentist | 219 Hawley St, Lockport, NY 14094-2717 | 2006-07-20 |
| Street Address |
3898 NEW VISION DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982089371 | Kelsey Darmochwal | Counselor | 3898 New Vision Dr, Suite E, Fort Wayne, IN 46845-1718 | 2015-07-27 |
| 1821411331 | Colleen Mccracken | Physical Therapist | 3898 New Vision Dr, Bldg 13, Suite D, Fort Wayne, IN 46845-1718 | 2014-02-04 |
| 1760812259 | Everyday Counseling & Services LLC | Counselor | 3898 New Vision Dr, Bldg #13 Suite #e, Fort Wayne, IN 46845-1718 | 2013-11-19 |
| 1760828073 | Rhonda Leigh Anderson | Nurse Practitioner | 3898 New Vision Dr, Fort Wayne, IN 46845 | 2013-05-14 |
| 1073750741 | Sayed E. Wahezi | Physical Medicine & Rehabilitation | 3898 New Vision Dr, Suite B, Fort Wayne, IN 46845-1718 | 2009-01-16 |
| 1265606065 | Amy Sue Hancher | Registered Nurse | 3898 New Vision Dr, Fort Wayne, IN 46845 | 2008-04-14 |
| 1295905529 | Spine Technology and Rehabilitation PC | Pain Medicine | 3898 New Vision Dr, Suite B, Fort Wayne, IN 46845-1718 | 2008-03-03 |
| 1558469973 | Tonya Windsor | Specialist | 3898 New Vision Dr, Ste D, Fort Wayne, IN 46845-1718 | 2006-09-20 |
| 1508962028 | Heather D Christlieb | Specialist | 3898 New Vision Dr, Ste D, Fort Wayne, IN 46845-1718 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538554399 | Allison Soldner | Pediatrics | 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 | 2015-03-30 |
| 1689939191 | Katherine Elizabeth Welch | Pediatrics | 3308 Rosewood Dr, Fort Wayne, IN 46804-6110 | 2012-07-10 |
| 1881847721 | William C. Ashman | Pediatrics | 6750 Covington Creek Trail, Fort Wayne, IN 46804 | 2008-10-23 |
| 1114061231 | Lalitha Sayed | Pediatrics | 3030 Lake Ave Ste 10, Fort Wayne, IN 46805-5428 | 2007-02-20 |
| 1013077825 | Lindsay M Ligler | Pediatrics | 2514 E. Dupont Rd, Fort Wayne, IN 46825 | 2006-12-11 |
| 1275546913 | Christopher Philip Tallo | Pediatrics | 2510 East Dupont Road, Suite 236, Fort Wayne, IN 46825 | 2006-08-14 |
| 1982614343 | Lynda K Otto | Pediatrics | 2402 Lake Ave, Fort Wayne, IN 46805-5406 | 2006-08-09 |
| 1881678860 | Northeast Indiana Genetic Counseling Center Inc | Pediatrics | 11143 Parkview Plaza Dr, Ste. 311, Fort Wayne, IN 46845-1701 | 2005-12-02 |
| 1932106317 | Jayesh P Patel | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-06-30 |
| 1548264963 | Gregory W Veerkamp | Pediatrics | 7910 W Jefferson Blvd, Ste 201, Fort Wayne, IN 46804-4159 | 2005-06-13 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on DR. MICHAEL PHILIP DICK.
| 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.