MARY DANNY DICKOW (NPI# 1700440641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700440641 |
| Entity Type | Individual |
| Full Name | MARY DANNY DICKOW |
| Credential | MD |
| Practice Address |
1804 Cymbeline Ct Fort Wayne IN 46818-9265 |
| Mailing Address |
1101 W. University Drive, 2 South Rochester MI 48307 |
| Practice Telephone | 2604946876 |
| Mailing Telephone | 2486014805 |
| Mailing Fax Number | 2486014908 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 W. University Drive, 2 South, Rochester, MI 48307 | 2486014805 | 2486014908 |
| Street Address |
1804 CYMBELINE CT |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-9265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1790394146 | Katie Patterson | Student in an Organized Health Care Education/Training Program | 2907 Westbrook Dr Apt 101, Fort Wayne, IN 46805-2055 | 2020-07-30 |
| 1891304689 | Alexi Nicole Seely | Student in an Organized Health Care Education/Training Program | 2423 Kenwood Ave, Fort Wayne, IN 46805-2755 | 2020-07-28 |
| 1659980365 | Laura Kraft | Student in an Organized Health Care Education/Training Program | 3822 Newport Ave Apt 2, Fort Wayne, IN 46805-1376 | 2020-07-28 |
| 1073145983 | Caelan Williams | Student in an Organized Health Care Education/Training Program | 6500 Saint Joe Rd Apt 116, Fort Wayne, IN 46835-1935 | 2020-02-08 |
| 1770131948 | Donzhae Lee | Student in an Organized Health Care Education/Training Program | 2510 Thompson Ave, Fort Wayne, IN 46807-1051 | 2019-08-30 |
| 1477086189 | Yogesh Jonna | Student in an Organized Health Care Education/Training Program | 3929 Heron Preserve Trl, Fort Wayne, IN 46814-7578 | 2017-04-10 |
| 1922547702 | Zin Than | Student in an Organized Health Care Education/Training Program | 833 Dantes Voyage Dr, Fort Wayne, IN 46845-2072 | 2017-02-14 |
| 1639616329 | Thomas Coleman | Student in an Organized Health Care Education/Training Program | 6110 Sapphire Trl, Fort Wayne, IN 46804-6290 | 2017-01-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
Please comment or provide details below to improve the information on MARY DANNY DICKOW.
| 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.