SCOTT D DICKSON (NPI# 1467576322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467576322 |
| Entity Type | Individual |
| Full Name | SCOTT D DICKSON |
| Credential | D.O. |
| Practice Address |
1350 N 500 E Logan UT 84341-2400 |
| Practice Telephone | 4357161820 |
| Practice Fax Number | 4357161693 |
| Mailing Telephone | 4357161820 |
| Mailing Fax Number | 4357161693 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
9291183-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 02003323A | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 58.002130 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851509657 | Scott Sheldon Dickson | Dentist | 690 N Meridian Rd, Suite 106, Kalispell, MT 59901-3586 | 2007-05-18 |
| 1689770315 | Scott Michael Dickson | Family Medicine | 311 E Matthews Ave, Jonesboro, AR 72401-3125 | 2006-09-16 |
| 1043235328 | Scott Dickson | Emergency Medicine | 175 Madison Ave, Emergency Department, Virtua Memorial Hospital, Mount Holly, NJ 08060-2038 | 2006-07-13 |
| 1346265345 | Scott Adrian Dickson | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2006-07-12 |
| Street Address |
1350 N 500 E |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707677 | Corey Wyn Walker | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-02-01 |
| 1790315281 | Stacy Hepner | Advanced Practice Midwife | 1350 N 500 E, Logan, UT 84341-2400 | 2020-01-23 |
| 1083265029 | Amanda E Stott | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2019-09-20 |
| 1093375727 | Kristiana Hales | Pharmacist | 1350 N 500 E, Logan, UT 84341-2400 | 2019-06-14 |
| 1376033456 | Deven Willardson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341-2400 | 2018-05-15 |
| 1154826618 | Ihc Health Services Inc | Clinic/Center | 1350 N 500 E, Logan, UT 84341-2400 | 2018-03-27 |
| 1801303003 | Becky Jean Rasmuson | Nurse Practitioner | 1350 N 500 E, Logan, UT 84341 | 2018-01-09 |
| 1558722900 | Ihc Health Services Inc | Family Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2016-03-14 |
| 1326420639 | Brian Ralph Balls | Physical Therapy Assistant | 1350 N 500 E, Suite 120, Logan, UT 84341-2400 | 2015-06-23 |
| 1073994810 | Benjamin Seale | Physician Assistant | 1350 N 500 E, Logan, UT 84341-2400 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306027842 | Aaron Kobernick | Allergy & Immunology | 50 N Medical Dr # 28, Salt Lake City, UT 84132-2632 | 2007-11-26 |
| 1023012911 | Timothy John Sullivan IIi | Allergy & Immunology | 4403 Harrison Blvd., Ste 4640, Ogden, UT 84403-3304 | 2005-06-08 |
| 1104356013 | Tanner Memorial Clinic | Allergy & Immunology | 5296 S Commerce Dr, Murray, UT 84107-4767 | 2017-06-13 |
| 1144648213 | Gourley Allergy & Asthma PC | Allergy & Immunology | 6065 S Fashion Blvd, Ste 255, Murray, UT 84107-7381 | 2014-04-04 |
| 1659616241 | Rocky Mountain Allergy Asthma and Immunology, LLC | Allergy & Immunology | 1660 W Antelope Dr, Suite 225, Layton, UT 84041-1156 | 2012-12-07 |
| 1548513799 | Timothy Sullivan, Md PC | Allergy & Immunology | 4403 Harrison Blvd, Ste# 4640, Ogden, UT 84403-3271 | 2012-10-24 |
| 1902080237 | Robert Silge | Allergy & Immunology | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2007-12-21 |
| 1780716563 | Vicki J Lyons Md PC | Allergy & Immunology | 4403 Harrison Blvd, Suite 4640, Ogden, UT 84403-3271 | 2007-03-09 |
| 1346324761 | Douglas Harry Jones | Allergy & Immunology | 2121 N 1700 W, Layton, UT 84041-8803 | 2006-10-24 |
| 1942318530 | Marcia L Muggelberg | Allergy & Immunology | 9500 S 1300 E, Sandy, UT 84094-3763 | 2006-08-25 |
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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.