DR. BRIAN PAUL DICKOVER (NPI# 1083699904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083699904 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PAUL DICKOVER |
| Credential | M.D. |
| Practice Address |
3500 Franciscan Way Ste 400 Michigan City IN 46360-0021 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 2198788200 |
| Practice Fax Number | 2198778331 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01063310A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01063310A | IN | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
01063310A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200862220 | 05 |
| Street Address |
3500 FRANCISCAN WAY STE 400 |
| City | MICHIGAN CITY |
| State | IN |
| Zip Code | 46360-0021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952396855 | William George Espar Jr. | Internal Medicine | 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0021 | 2005-09-16 |
| 1336747740 | Emily Mokol | Occupational Therapist | 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0021 | 2020-10-16 |
| 1063986677 | Theresa V Jarvis | Occupational Therapist | 3500 Franciscan Way Ste 400, Michigan City, IN 46360 | 2019-01-16 |
| 1013488196 | Brooke Nack | Physical Therapist | 3500 Franciscan Way Ste 400, Michigan City, IN 46360 | 2018-12-16 |
| 1942789615 | Amanda Ritthaler | Nurse Practitioner | 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0021 | 2018-08-13 |
| 1972005809 | Lisa Varnado | Nurse Practitioner | 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0021 | 2018-03-07 |
| 1902229784 | Vinod Namana | Internal Medicine | 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0021 | 2014-01-29 |
| 1134561947 | Urszula Anna Piergalski | Physical Therapist | 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0021 | 2013-07-22 |
| 1184972572 | Jennifer Victoria Remijas | Occupational Therapist | 3500 Franciscan Way Ste 400, Michigan City, IN 46360 | 2012-08-16 |
| 1578851515 | Abdullah Quddus | Internal Medicine | 3500 Franciscan Way Ste 400, Michigan City, IN 46360 | 2011-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649096 | Trinity Healthcare Inc. | Occupational Therapist | 4300 Cleveland Ave, Michigan City, IN 46360 | 2019-09-27 |
| 1861905499 | Erika Leigh Maroon | Chiropractor | 8690 West Pahs Rd., Michigan City, IN 46360 | 2017-11-06 |
| 1750740650 | Michelle Asbell | Nurse Practitioner | 301 Homer St, Michigan City, IN 46360 | 2016-02-19 |
| 1235523952 | Marnee Flinn-smith | Specialist/Technologist | 8466 Pahs Rd, Michigan City, IN 46360 | 2015-03-19 |
| 1184976359 | Kelly Stewart | Physical Therapist | 301 Homer Street, Michigan City, IN 46360 | 2012-10-11 |
| 1053660936 | Planned Parenthood of Indiana Michigan City | Clinic/Center | 324 Dunes Plaza, Michigan City, IN 46360 | 2012-09-06 |
| 1114288644 | June R. R. Nichols Ocularist, Ltd | Durable Medical Equipment & Medical Supplies | 450 St. John Road, Suite 396, Michigan City, IN 46360 | 2012-05-31 |
| 1083980858 | Enoch Kassa | Internal Medicine | 3777 N Frontage Rd, Michigan City, IN 46360 | 2012-03-27 |
| 1760768196 | American Limb & Orthopedic Company of Valparaiso | Prosthetic/Orthotic Supplier | 3777 N. Frontage Rd, Suite 100, Michigan City, IN 46360 | 2011-10-31 |
| 1801181144 | Elizabeth A Whitaker | Counselor | 8733 W. 400 N., 400 North Medical Center, Michigan City, IN 46360 | 2011-06-15 |
| Find all providers in zip 46360 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871676064 | Maurice Ndukwu PC | Internal Medicine | 8733 W 400 N, Michigan City, IN 46360-9330 | 2006-10-23 |
| 1114998275 | Kristina Wu | Internal Medicine | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730422163 | Richard Evers Brashear | Internal Medicine | 7914 Beaumont Green West Dr, Indianapolis, IN 46250-1651 | 2013-04-04 |
| 1558603829 | Don Coleman Weiser | Internal Medicine | 8803 N. Meridian St Suite 250, Midwest Institute for Clinical Research, Indianapolis, IN 46260 | 2013-03-25 |
| 1134464209 | Sneeze & Snooze Clinic, P C. | Internal Medicine | 2417 S. Berkshire Dr., Gashen, IN 46526-6815 | 2012-11-30 |
| 1215268875 | Roy Mason Arnold | Internal Medicine | 525 Audubon Dr, Evansville, IN 47715-3605 | 2010-01-21 |
| 1225294630 | G Terence Reuland | Internal Medicine | 19378 Par Dr, Lawrenceburg, IN 47025-7938 | 2008-08-05 |
| 1497923486 | Medical Clinics of America | Internal Medicine | 1402 173rd St, Hammond, IN 46324-2861 | 2008-02-13 |
| 1528265709 | Sleep Centers of Fort Wayne LLC | Internal Medicine | 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 | 2007-06-29 |
| 1801939749 | Freedom Healthcare, Inc. | Internal Medicine | 1215 Washington Sq, Evansville, IN 47715-6807 | 2007-02-14 |
| 1972675189 | Chest & Sleep Consultants | Internal Medicine | 952 S State Road 2, Valparaiso, IN 46385-6322 | 2006-11-14 |
| 1457421497 | Wagoner Medical Center, LLC | Internal Medicine | 605 East 7th Street, Burlington, IN 46915-0038 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
| City | MICHIGAN CITY |
| Zip Code | 46360 |
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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.