DR. JACOB JOHN DICKINSON (NPI# 1356606487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356606487 |
| Entity Type | Individual |
| Full Name | DR. JACOB JOHN DICKINSON |
| Credential | M.D. |
| Practice Address |
1402 E County Line Rd Indianapolis IN 46227-0963 |
| Practice Telephone | 3178877156 |
| Mailing Telephone | 3178877156 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2015-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01075221A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301100480 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316821 | Jacob Lane Dickinson | Student in an Organized Health Care Education/Training Program | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2019-03-21 |
| 1508015975 | Jacob Dickinson | Marriage & Family Therapist | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2008-09-10 |
| 1396866364 | Jacob Lee Dickinson | Surgery | 901 Burnett Dr, Mountain Home, AR 72653-2908 | 2007-04-03 |
| Street Address |
1402 E COUNTY LINE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-0963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842026 | Ashish Patel | Internal Medicine | 1402 E County Line Rd, Indianapolis, IN 46227 | 2005-06-27 |
| 1740898931 | Hayley Robertson | Pharmacist | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2020-07-14 |
| 1255957668 | Trisha Kinder | Pharmacy Technician | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2020-06-22 |
| 1124677000 | Amanda Marie Mccoy Ignaut | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-09-04 |
| 1609436252 | Megan Siebert | Clinical Nurse Specialist | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-06-17 |
| 1235602335 | Sara R Reichert | Registered Nurse | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-01-10 |
| 1548737372 | Aubrey E. Mcmahon | Physician Assistant | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2018-10-30 |
| 1003392440 | Cortnie N Yoder | Physician Assistant | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2018-07-18 |
| 1295211639 | Sarah Rice | Physician Assistant | 1402 E County Line Rd, Indianapolis, IN 46227 | 2018-07-18 |
| 1336632108 | Jessika A Ford | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1508203514 | Mark Liao | Emergency Medicine | 1701 N Senate Blvd Rm Ag012, Indianapolis, IN 46202-1239 | 2013-05-30 |
| 1003157322 | Medexpress Urgent Care PC - Indiana | Emergency Medicine | 10863 E Washington St, Indianapolis, IN 46229-2615 | 2013-03-12 |
| 1164763744 | Medexpress Urgent Care PC - Indiana | Emergency Medicine | 4903 S Emerson Ave, Indianapolis, IN 46203-5938 | 2013-03-07 |
| 1205199379 | Damien T Berry | Emergency Medicine | 6335 S East St, Indianapolis, IN 46227-7112 | 2012-06-22 |
| 1972886422 | Barber Hospital LLC | Emergency Medicine | 8125 Knue Rd, Indianapolis, IN 46250-1936 | 2011-09-21 |
| 1225321797 | Seth Benjamin Langsam | Emergency Medicine | 1120 W Michigan St, Cl 260, Indianapolis, IN 46202-5209 | 2011-05-17 |
| 1538480777 | Stephanie M Gardner | Emergency Medicine | 5262 Carrollton Ave, Indianapolis, IN 46220-3181 | 2010-06-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.