DR. DAVID W DICKISON (NPI# 1760577910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760577910 |
| Entity Type | Individual |
| Full Name | DR. DAVID W DICKISON |
| Credential | D.O. |
| Practice Address |
22 Bramhall Street Portland ME 04102 |
| Mailing Address |
Po Box 265 Yarmouth ME 04096 |
| Practice Telephone | 2076624011 |
| Practice Fax Number | 2076626392 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
1104 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
22 BRAMHALL STREET |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893108 | Lori A Niland | Physician Assistant | 22 Bramhall Street, Portland, ME 04102 | 2005-12-29 |
| 1295359966 | Christopher Ryan Win Hun Lee | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Psa #5323a, Portland, ME 04102 | 2020-05-29 |
| 1699234658 | Colbey Ryan Bowen | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Department of Pediatrics, Portland, ME 04102 | 2019-03-18 |
| 1154826998 | James Joseph Leonetti | Pharmacist | 22 Bramhall Street, Portland, ME 04102 | 2018-03-26 |
| 1518497890 | Pardis Koleini | Dentist | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-06-19 |
| 1588196042 | David Yang | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102-5432 | 2017-04-03 |
| 1649702119 | Katherine Sharp | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-04-03 |
| 1902338361 | William J Devan | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2017-04-03 |
| 1871943597 | Margaret Tekla Doan Soroka | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102 | 2016-06-14 |
| 1457715690 | Benjamin Noah Starobin | Student in an Organized Health Care Education/Training Program | 22 Bramhall Street, Maine Medical Center, Portland, ME 04102-3134 | 2016-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306006580 | Deborah S. Rojas | Preventive Medicine | 54 Saint John St, Portland, ME 04102-3018 | 2008-06-11 |
| 1730205725 | Tamara X Arthur | Preventive Medicine | 1919 Nw Lovejoy St, Portland, OR 97209-1503 | 2007-03-21 |
| 1457337156 | Lori Lynn Gross | Preventive Medicine | 25 Nw 23rd Pl, Suite 6, #324, Portland, OR 97210-5580 | 2005-12-15 |
| 1275864662 | Charles Kirby Griffin | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 200, Portland, OR 97223-5442 | 2010-01-25 |
| 1023293339 | Milton J Gavlick | Preventive Medicine | 1750 Nw Naito Pkwy, Suite 100b, Portland, OR 97209-2530 | 2008-01-04 |
| 1801006911 | Rakhee Nandkumar Urankar | Preventive Medicine | 3181 Sw Sam Jackson Park Rd, 3181 Sw Samjackson Park Rd, Portland, OR 97239-3011 | 2007-05-23 |
| 1568585115 | Richard J Maguire | Preventive Medicine | 1600 Congress St, Portland, ME 04102 | 2007-04-09 |
| 1649398611 | Raymond Larsen | Preventive Medicine | 3449 N Anchor St, Suite A, Portland, OR 97217-7679 | 2007-03-27 |
| 1477670263 | James E Harris | Preventive Medicine | 9370 Sw Greenburg Rd, Suite 101, Portland, OR 97223-5442 | 2007-03-25 |
| 1265565683 | Susan B. Upham | Preventive Medicine | 323 Marginal Way, Portland, ME 04101-2543 | 2007-03-14 |
| Find all providers in PORTLAND | ||||
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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.