EMMY-LOU OLIVIA DICKINSON


Address: 9905 Medical Center Dr Ste 200, Rockville, MD 20850-6535
Phone: 3014246231

EMMY-LOU OLIVIA DICKINSON (NPI# 1215330089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215330089
Entity Type Individual
Full Name EMMY-LOU OLIVIA DICKINSON
Credential P.A., MPH
Practice Address 9905 Medical Center Dr Ste 200
Rockville
MD 20850-6535
Practice Telephone 3014246231
Mailing Telephone 3014246231
Enumeration Date 2014-10-07
Last Update Date 2020-09-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant 2182 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9905 MEDICAL CENTER DR STE 200
City ROCKVILLE
State MD
Zip Code 20850-6535

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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669070991 Niklavs Peteris Eglitis Physician Assistant 905 Paulsboro Dr, Rockville, MD 20850-3027 2020-10-09
1740899178 Annie Jung Kim Physician Assistant 1801 Chapman Ave Apt 269, Rockville, MD 20852-5659 2020-07-31
1437625464 Michael Xiaobo Tang Physician Assistant 121 Congressional Ln Ste 409, Rockville, MD 20852-1542 2018-10-17
1821577412 Rachel Ghaman Physician Assistant 2301 Research Blvd Ste 215, Rockville, MD 20850 2018-08-14
1740719483 Tao Jiang Physician Assistant 9660 Traville Gateway Dr, Rockville, MD 20850-7462 2017-06-07
1174073332 Pavithra Gowda Physician Assistant 11921 Rockville Pike Ste 505, Rockville, MD 20852-2758 2016-10-11
1689091126 Shana Subram Physician Assistant 13420 Bartlett St, Rockville, MD 20853-2938 2014-03-22
1033541982 Jennifer Diane Treat Physician Assistant 11300 Rockville Pike Ste 1100, Rockville, MD 20852-3012 2013-08-02
1881808905 Calvin Samuel Spinner Physician Assistant 5600 Fisher Ln, Rockville, MD 20857-0001 2007-05-09
1467581561 Charles Philip Goodie Physician Assistant 1700 Rockville Pike Ste 145, Rockville, MD 20852-1631 2007-03-05
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Competitor

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City ROCKVILLE
Zip Code 20850

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Dataset Information

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.

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