PATRICK CALLEN DICKERSON


Address: 1000 S 52nd St, Rogers, AR 72758
Phone: 4792719607

PATRICK CALLEN DICKERSON (NPI# 1467718619) 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) 1467718619
Entity Type Individual
Full Name PATRICK CALLEN DICKERSON
Credential M.D.
Practice Address 1000 S 52nd St
Rogers
AR 72758
Mailing Address 1000 S 52nd St
Rogers
AR 72758-8610
Practice Telephone 4792719607
Practice Fax Number 4792712133
Mailing Telephone 4792719607
Mailing Fax Number 4792712133
Enumeration Date 2012-04-02
Last Update Date 2019-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery E12109 AR Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Medical Center Dr, Dhmc Department of Orthopaedics, Lebanon, NH 037561000 6036505133

Office Location

Street Address 1000 S 52ND ST
City ROGERS
State AR
Zip Code 72758

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063408243 Barbara Rayfield Bess Psychiatry & Neurology 1000 S 52nd St, Rogers, AR 72758-8610 2005-09-23
1013417518 Corey Carver Physician Assistant 1000 S 52nd St, Rogers, AR 72758-8610 2018-02-20
1578954616 Lindsey Erin Smallridge Physician Assistant 1000 S 52nd St, Rogers, AR 72758-8610 2015-02-11
1245673938 Andreas J. Chen Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758 2013-04-11
1154601805 Dominic Amadeo Jacobelli Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758 2011-08-26
1013233147 Neurobess Pa Psychiatry & Neurology 1000 S 52nd St, Rogers, AR 72758-8610 2010-04-14
1295978443 Charles Irving Jones IIi Orthopaedic Surgery 1000 S 52nd St, Mercy Clinic Orthopedics, Rogers, AR 72758-8610 2009-04-16
1962452938 Julie Lynne Slavik Physician Assistant 1000 S 52nd St, Rogers, AR 72758-8610 2006-05-11
1881650554 William Cody Grammer Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758-8610 2006-04-21
1366415010 Michael Anthony Griffey II Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758-8610 2006-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417588690 Premier Hospitalists of Nwa, Pllc Hospitalist 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 2020-01-28
1447893235 Kelsey Elizabeth Sutton Speech-Language Pathologist 2100 West Perry Rd, Rogers, AR 72758 2019-10-24
1447700299 Shannon Kaima Physician Assistant 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 2016-10-05
1801345426 The Exclusive Eye, Pllc Optometrist 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 2016-09-23
1780063909 Nicholas Honea Nurse Anesthetist, Certified Registered 4600 Centre Court, Rogers, AR 72758 2015-05-20
1811388945 Amanda M Hawes Physician Assistant 1000 S. 52nd Street, Rogers, AR 72758 2015-02-11
1316354087 Natalie Horine Chiropractor 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 2014-07-15
1205248903 Clyde K. Tempel Registered Nurse 2100 W. New Hope Rd. #1804, Rogers, AR 72758 2014-05-29
1548692445 Becky Tadlock Ross Pharmacist 1766 West Laurel, Rogers, AR 72758 2013-08-01
1497190797 Medical Associates of Northwest Arkansas Pa Pediatrics 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 2013-05-01
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902878440 Scott Cooper Orthopaedic Surgery 1000 S 52nd Street, Rogers, AR 72758 2006-02-07
1689646226 John D Mertz Orthopaedic Surgery 1101 S Horsebarn Rd, Rogers, AR 72758-8237 2006-02-07
1063835908 Mercy Health Northwest Arkansas Communities Orthopaedic Surgery 1101 S Horsebarn Rd, Rogers, AR 72758-8237 2014-01-29
1245673938 Andreas J. Chen Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758 2013-04-11
1295978443 Charles Irving Jones IIi Orthopaedic Surgery 1000 S 52nd St, Mercy Clinic Orthopedics, Rogers, AR 72758-8610 2009-04-16
1881650554 William Cody Grammer Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758-8610 2006-04-21
1366415010 Michael Anthony Griffey II Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758-8610 2006-02-10
1972576072 Ronald Jacob Kaler Orthopaedic Surgery 1000 S 52nd St, Rogers, AR 72758-8610 2006-02-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790257442 Samuel G. Meredith Md Pa Orthopaedic Surgery 1229 State Highway 77 Ste 1, Marion, AR 72364-9050 2018-12-19
1275056004 University of Arkansas for Medical Sciences Orthopaedic Surgery 108015 Colonel Glenn Rd, Little Rock, AR 72204 2017-07-24
1043612625 University of Arkansas At Pine Bluff Orthopaedic Surgery 1200 University Dr, Pine Bluff, AR 71601-2780 2014-09-25
1881959450 Robert J. Tomlinson Md, Pa Orthopaedic Surgery 212 W. Monroe Ave., Ste A, Lowell, AR 72745 2012-07-10
1497023147 Reeves Spine and Orthopedic,llc Orthopaedic Surgery 224 W. Erie, Harrison, AR 72601 2011-12-09
1578840237 Bill T. Shanlever Orthopaedic Surgery 1103 Wilkins Ave, Jonesboro, AR 72401 2011-11-09
1376828954 Cooper Clinic, P.a. Orthopaedic Surgery 1500 Dodson Ave Ste 285, Fort Smith, AR 72901-5182 2011-10-14
1164700068 Nwa Orthopaedic Consulting, Pa Orthopaedic Surgery 161 W Van Asche Dr Ste 101, Fayetteville, AR 72703-4999 2011-07-26
1588954416 Donald Claude Bailey Orthopaedic Surgery 500 Fairway Cir Apt G, Springdale, AR 72764-1026 2011-04-12
1700183548 Robert G Bebout Md Orthopaedic Surgery 1804 Rannoch Trce, Fort Smith, AR 72908-0971 2011-02-14
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Competitor

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City ROGERS
Zip Code 72758

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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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