MR. JOHN PHILLIP DICKINSON (NPI# 1790098150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790098150 |
| Entity Type | Individual |
| Full Name | MR. JOHN PHILLIP DICKINSON |
| Credential | ARNP |
| Practice Address |
1921 Stonecipher Dr Ada OK 74820-3439 |
| Mailing Address |
520 N Monte Vista St Suite A Ada OK 74820-4674 |
| Practice Telephone | 5804363980 |
| Mailing Telephone | (580) 272-0922 |
| Mailing Fax Number | 5802720811 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
83156 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487686622 | John Carlton Dickinson | Family Medicine | 2 Rubin Drive, Rushville, NY 14544 | 2006-07-07 |
| 1235109877 | John W Dickinson | Dentist | 704 N Main Street, Desoto, MO 63020 | 2006-01-25 |
| 1104223148 | John Dickinson | Specialist/Technologist | 7467 Saint Andrews Rd, #9, Irmo, SC 29063-2875 | 2014-11-19 |
| 1457606279 | John D Dickinson | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2012-07-18 |
| 1780889485 | John David Dickinson | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2007-06-20 |
| 1437222726 | John Scott Dickinson | Counselor | 111 10th St Sw, Waverly, IA 50677-2925 | 2006-11-16 |
| 1477582872 | John T Dickinson | Surgery | 3355 Riverbend Dr Ste 300, Springfield, OR 97477-8800 | 2006-06-30 |
| 1407817216 | John Richard Dickinson | Optometrist | 151 W Main St, Wilmington, OH 45177-2238 | 2006-03-31 |
| Street Address |
1921 STONECIPHER DR |
| City | ADA |
| State | OK |
| Zip Code | 74820-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050291 | Carol Lynn Rhoads | Nurse Anesthetist, Certified Registered | 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820-3439 | 2005-08-18 |
| 1295336683 | Tina S Johnston | Nurse Anesthetist, Certified Registered | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-11-03 |
| 1972125706 | Ana Nguyen Phan | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-05-14 |
| 1932720349 | Tony Glen Wallen | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-27 |
| 1053931840 | Eric Vincent Harris | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-21 |
| 1417581109 | Amy Stepp | Licensed Practical Nurse | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-03-03 |
| 1477185445 | Kimberly D Wilson | Licensed Practical Nurse | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-02-07 |
| 1275174435 | Abby Lynn Crow | Audiologist | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-09-30 |
| 1821648809 | Mercedes Milligan | Counselor | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-09-12 |
| 1447808852 | Shandi Lynn Martin | Counselor | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274052 | Chrissy Marie Lehew | Nurse Practitioner | 11420 County Road 1518 Cir, Ada, OK 74820-5548 | 2019-09-12 |
| 1356810444 | Tamera Casady | Nurse Practitioner | 131 E 12th St Unit 2542, Ada, OK 74821-7225 | 2018-11-19 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| 1083084461 | Michelle Ann Cole | Nurse Practitioner | 709 Better Now Plz, Ada, OK 74820-2279 | 2015-09-29 |
| 1194120584 | Abigail Akyeampong | Nurse Practitioner | 4139 State Route 235 Apt I, Ada, OH 45810-9500 | 2014-10-28 |
| 1659985430 | Christy Lynn Morris | Nurse Practitioner | 325 N Monte Vista St, Ada, OK 74820-4607 | 2020-08-31 |
| 1780209254 | Holly Katharyn Farrar | Nurse Practitioner | 721 Better Now Plz, Ada, OK 74820-2279 | 2020-06-10 |
| 1205478682 | Sommer Leeann Millard | Nurse Practitioner | 1023 Arlington St Ste B, Ada, OK 74820-4028 | 2019-10-17 |
| 1710528674 | Lisa Renea Pate | Nurse Practitioner | 730 Finley Dr, Ada, OK 74820-5392 | 2019-10-02 |
| 1649821158 | Mannacare Health and Wellness Medical Center LLC | Nurse Practitioner | 4139 State Route 235 Apt I, Ada, OH 45810-9500 | 2019-09-25 |
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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.