JERRY D DICKESS (NPI# 1033697990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033697990 |
| Entity Type | Individual |
| Full Name | JERRY D DICKESS |
| Practice Address |
613 23rd St Ste G10 Ashland KY 41101-2886 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 0640858646 |
| Practice Fax Number | 6064086499 |
| Mailing Telephone | 6064085864 |
| Mailing Fax Number | 6064086499 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 50.005673 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA2449 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 Scioto Trl Ste 200, Portsmouth, OH 456622845 | 7403538100 | 7403538908 |
| Street Address |
613 23RD ST STE G10 |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396710091 | Mohamad R Abul-khoudoud | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2006-02-17 |
| 1669086203 | Annette Lillian Zacur | Nurse Practitioner | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2020-09-01 |
| 1740761147 | William Joshua Hensley | Nurse Practitioner | 613 23rd St Ste G10, Ashland, KY 41101 | 2018-08-23 |
| 1073938874 | Chelsey Nicole White | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2014-03-03 |
| 1518306471 | Kenneth Leung | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2013-06-24 |
| 1326308727 | Jessica R Hicks | Nurse Practitioner | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2012-05-21 |
| 1326335209 | Julian David Lopez-garcia | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2011-06-29 |
| 1215238662 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2010-11-16 |
| 1952564312 | Traci Annette Sanchez-vanhoose | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2008-07-07 |
| 1841475100 | Sabrina Francisca Roberts | Internal Medicine | 613 23rd St Ste G10, Ashland, KY 41101-2886 | 2008-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575473 | Hemal Kishorbhai Desai | Physician Assistant | 1 Cirrus Dr Apt 105, Ashland, MA 01721-4431 | 2020-07-07 |
| 1770104408 | Logan Leon | Physician Assistant | 404 Lakeshore Rd, Ashland, OH 44805-8612 | 2020-05-05 |
| 1083165559 | Ashland Hospital Corporation | Physician Assistant | 14375 Lions Ln, Ashland, KY 41102-7066 | 2016-10-20 |
| 1508317975 | Ashland Hospital Corporation | Physician Assistant | 2123 Main St W, Ashland, KY 41102-3237 | 2016-10-20 |
| 1407307879 | Ashland Hospital Corporation | Physician Assistant | 1001 Winslow Rd, Ashland, KY 41102-5317 | 2016-10-20 |
| 1891246369 | Ashland Hospital Corporation | Physician Assistant | 1226 Summitt Rd, Ashland, KY 41102-8278 | 2016-10-20 |
| 1598216962 | Ashland Hospital Corporation | Physician Assistant | 258 Mcknight St, Ashland, KY 41102-4339 | 2016-10-20 |
| 1437600814 | Ashland Hospital Corporation | Physician Assistant | 3215 South 29th St, Ashland, KY 41102 | 2016-10-20 |
| 1437600905 | Ashland Hospital Corporation | Physician Assistant | 12862 State Route 180, Ashland, KY 41102-8939 | 2016-10-20 |
| 1174074553 | Ashland Hospital Corporation | Physician Assistant | 1100 Bob Mccullough Dr, Ashland, KY 41102 | 2016-10-20 |
| Find all providers in ASHLAND | ||||
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| 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.