WADE ALDEN DICKINSON (NPI# 1104827922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104827922 |
| Entity Type | Individual |
| Full Name | WADE ALDEN DICKINSON |
| Credential | MD |
| Practice Address |
3152 N Millbrook Ave #suite B Fresno CA 93703-1459 |
| Mailing Address |
3812 N 1st St Fresno CA 93726-4301 |
| Practice Telephone | 5592440133 |
| Practice Fax Number | 5592440148 |
| Mailing Telephone | 5594953120 |
| Mailing Fax Number | 5594953134 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A62554 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | CAL STATE LIC NUMBER | A62554 | 01 |
| Street Address |
3152 N MILLBROOK AVE #SUITE B |
| City | FRESNO |
| State | CA |
| Zip Code | 93703-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021713 | Floyd Edward Robinson Sr. | Counselor | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2019-03-06 |
| 1053866418 | Rupinder Bhangoo | Nurse Practitioner | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2016-08-15 |
| 1396173829 | Family Wellness Clinic | Clinic/Center | 3152 N Millbrook Ave, Suite C, Fresno, CA 93703-1400 | 2013-10-18 |
| 1164789905 | Phillip Cowings IIi | Counselor | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2012-04-18 |
| 1417227745 | Tina Marie Overstreet | Physician Assistant | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2012-01-04 |
| 1093021693 | Evette Boshra Zikry Gabriel | Physician Assistant | 3152 N Millbrook Ave, Suite C, Fresno, CA 93703-1400 | 2010-08-20 |
| 1801050240 | Brenda Cruz | Counselor | 3152 N Millbrook Ave, Fresno, CA 93703-1400 | 2008-07-15 |
| 1639339377 | Panacea Services, Inc | Community/Behavioral Health | 3152 N Millbrook Ave, Suite D&e, Fresno, CA 93703-1400 | 2008-06-16 |
| 1316925035 | Jean Wadhams Geller | Registered Nurse | 3152 N Millbrook Ave, Suite B, Fresno, CA 93703-1459 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396395638 | Angelica Gomez | Behavior Technician | 1535 N. Cedar Ave Apt 159, Fresno, CA 93703 | 2019-09-18 |
| 1326521659 | Skylar Nunes | Licensed Vocational Nurse | 3133 N. Millbrook Ave, Fresno, CA 93703 | 2018-09-12 |
| 1700379377 | Heather Rae Mann | Counselor | 3133 N Miibrook Ave, Fresno, CA 93703 | 2018-06-08 |
| 1891296422 | Guardian Angel's Adult Day Healt Care, LLC | Clinic/Center | 4837 E. Mckinley Avenue, Fresno, CA 93703 | 2018-02-28 |
| 1275052987 | Diana Christine Garnica | Nurse Practitioner | 4950 E Clinton Ave, Fresno, CA 93703 | 2017-09-13 |
| 1639609241 | Ryan Ruhl | Case Manager/Care Coordinator | 3133 N Millbrook Ave., Fresno, CA 93703 | 2017-06-15 |
| 1972034221 | Anna Garcia | Counselor | 1505 N Chestnut, Fresno, CA 93703 | 2017-03-27 |
| 1306227947 | Innovations Counseling Services | Health Maintenance Organization | 2100 Wst. Winery Ave, 101, Fresno, CA 93703 | 2015-06-09 |
| 1639592553 | Janelle K Raynor | Counselor | 1911 East Princeton Avenue, Fresno, CA 93703 | 2014-01-29 |
| 1104166297 | Jessica Marie Flowers-guerrero | Marriage & Family Therapist | 3133 N. Millbrook Ave., Fresno, CA 93703 | 2013-02-26 |
| Find all providers in zip 93703 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053758607 | Elaine Winifred Morris | Obstetrics & Gynecology | 1752 W Calimyrna Ave Apt B, Fresno, CA 93711-1871 | 2013-05-22 |
| 1184769879 | Denard Manuel Fobbs Sr. | Obstetrics & Gynecology | 5339 N Fresno St Ste 105e, Fresno, CA 93710-6851 | 2007-02-20 |
| 1326132903 | Keith Ormon Kielmeyer | Obstetrics & Gynecology | 5536 E Lane Ave, Fresno, CA 93727-5336 | 2006-10-03 |
| 1396721197 | Omni Womens Health Medical Group Inc | Obstetrics & Gynecology | 3812 N 1st St, Fresno, CA 93726-4301 | 2005-12-22 |
| 1457352866 | Camilla Louise Marquez | Obstetrics & Gynecology | 2416 W Shaw Ave, Ste. 106, Fresno, CA 93711-3303 | 2005-08-09 |
| 1437602919 | White Medical Group, Inc. | Obstetrics & Gynecology | 2152 E Cooper Avenue, Suite 111, Fresno, CA 93730-5404 | 2016-08-01 |
| 1912149691 | Julie Nicole | Obstetrics & Gynecology | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2009-03-27 |
| 1992899090 | Cynthia Ann Bergmann | Obstetrics & Gynecology | 6167 N Fresno St Ste 102, Fresno, CA 93710-8610 | 2006-10-03 |
| 1053425470 | The Center for Continence Care, Inc | Obstetrics & Gynecology | 2763 E Shaw Ave, Suite 102, Fresno, CA 93710-8220 | 2006-08-19 |
| 1548286511 | William Max Rich | Obstetrics & Gynecology | 6323 N Fresno St, Suite 105, Fresno, CA 93710-5282 | 2006-07-14 |
| Find all providers in FRESNO | ||||
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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.