DR. KATHRYN ELYSE DICKERSON


Address: 5323 Harry Hines Boulevard, Dallas, TX 75390-7201
Phone: 2144562382

DR. KATHRYN ELYSE DICKERSON (NPI# 1386943835) 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) 1386943835
Entity Type Individual
Full Name DR. KATHRYN ELYSE DICKERSON
Credential MD
Practice Address 5323 Harry Hines Boulevard
Dallas
TX 75390-7201
Mailing Address Po Box 845347
Dallas
TX 75284-5347
Practice Telephone 2144562382
Practice Fax Number 2144566133
Mailing Telephone (214) 456-2382
Mailing Fax Number 2144566133
Enumeration Date 2011-03-23
Last Update Date 2017-08-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
R2082 TX Allopathic & Osteopathic Physicians

Other Providers KATHRYN DICKERSON

NPI Name Taxonomy Address Enumeration
1447624630 Kathryn Suzanne Dickerson Health Educator 111 E 12th St, Ada, OK 74820-6501 2015-11-25

Office Location

Street Address 5323 HARRY HINES BOULEVARD
City DALLAS
State TX
Zip Code 75390-7201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558365510 David Edward Rogers Obstetrics & Gynecology 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 2005-06-08
1558986273 Lauren Bell Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 2020-06-09
1881214070 Rosalina Magalhaes Pereira Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-04-17
1124647367 Emma Lucille Van Winkle Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 2020-04-08
1902434061 Nicholas Cain Boswell Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-04-01
1063040566 Jeffrey Isaac Traylor Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-03-30
1639706245 Sarah Reddy Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2020-03-24
1427603273 Molly Bryant Nurse Practitioner 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 2019-08-08
1316509995 Emily Wong Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2019-07-03
1548822463 Neha Hanoman Rajput Student in an Organized Health Care Education/Training Program 5323 Harry Hines Boulevard, Dallas, TX 75390 2019-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467075655 Richard Mark Bresler Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 2020-05-21
1356970735 Fabricio Stewan Feltrin Student in an Organized Health Care Education/Training Program 5323 Harry Hynes Boulevard, Dallas, TX 75390 2020-04-07
1477016467 Seagal Raza Dauglas Student in an Organized Health Care Education/Training Program 5323 Harry Hines Mc9159, Dallas, TX 75390 2019-04-08
1831674340 Adwoa Aninkorah Nurse Practitioner Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 2018-10-01
1194212712 Christian Lobue Clinical Neuropsychologist 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 2018-04-19
1912439720 Linsey Lindley Student in an Organized Health Care Education/Training Program 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 2017-03-30
1043759418 Alyssa Macchiaroli Registered Nurse 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 2017-02-18
1609313980 Megan Rasmussen Bollner Physician Assistant 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 2017-01-25
1518329168 Danny Hsu Yang Hospitalist 6201 Harry Hines Blved, Dallas, TX 75390 2016-03-23
1780046532 Omer Mirza Hospitalist 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 2016-03-22
Find all providers in zip 75390

Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982648655 Carl Lenarsky Pediatrics 7777 Forest Ln Bldg D, Suite 400, Dallas, TX 75230-2505 2006-06-15
1952304529 Stephen X Skapek Pediatrics University of Texas Southwestern Medical Ctr, 5323 Harry Hines Blvd, Dallas, TX 75390-9063 2005-05-27
1649892464 Megan Emily Knust Pediatrics 1935 Medical District Dr, Dallas, TX 75235-7701 2020-05-14
1013443753 Melanie Stall Pediatrics 1935 Medical District Dr, Dallas, TX 75235-7701 2017-05-01
1447662101 Rida Abid Hasan Pediatrics 5323 Harry Hines Blvd, Dallas, TX 75390-9063 2014-05-28
1154697969 Erin Butler Pediatrics 1935 Medical District Dr, Dallas, TX 75235-7701 2012-03-26
1720391998 Tiffany Renea Simms-waldrip Pediatrics 5323 Harry Hines Blvd, Dallas, TX 75390-7208 2010-07-16
1861725756 Alexander Gozman Pediatrics 5323 Harry Hines Blvd, Dallas, TX 75390-7208 2009-09-10
1467686683 Maurizio Lorenzo Ghisoli Pediatrics 7777 Forest Ln Ste D400, Dallas, TX 75230-6899 2009-05-04
1053553750 Kathleen F Ludwig Pediatrics 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 2009-03-27
Find all providers in DALLAS

Competitor

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City DALLAS
Zip Code 75390

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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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