DR. WILLIAM JOHN DICKERSON II (NPI# 1861448607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861448607 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOHN DICKERSON II |
| Credential | MD |
| Practice Address |
4302 W Broward Blvd Suite 200 Plantation FL 33317-3780 |
| Mailing Address |
1 Edward St Canton MA 02021-2303 |
| Practice Telephone | 9547713433 |
| Practice Fax Number | 9547719911 |
| Mailing Telephone | 7818283533 |
| Mailing Fax Number | 7818282471 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
ME64924 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2719029 00 | 05 | |
| FL | BLUE CROSS & BLUE SHIELD | 52084 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205951241 | William M Dickerson Jr. | Optometrist | 322 West Main, Tupelo, MS 38802-0497 | 2007-03-20 |
| 1598292898 | William Dickerson | Dentist | 9501 Hillwood Dr, Las Vegas, NV 89134-0527 | 2017-05-17 |
| 1245306018 | William Edgar Dickerson | Radiology | 8901 Wisconsin Ave, Nnmc- Radiation Oncology Clinic, Bethesda, MD 20889-0001 | 2006-11-25 |
| Street Address |
4302 W BROWARD BLVD SUITE 200 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-3780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962716506 | Comprehensive Neurobehavioral Institute Pllc | Chiropractor | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2010-08-05 |
| 1063630861 | David B. Ross | Psychiatry & Neurology | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2007-04-24 |
| 1558497719 | Nicole Lynn Vredenburg | Social Worker | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2007-02-24 |
| 1225137300 | Jeffrey M Gran Psy D Pa | Clinical Neuropsychologist | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2006-09-22 |
| 1679599310 | Jeffrey Miles Gran | Clinical Neuropsychologist | 4302 W Broward Blvd, Suite 800, Plantation, FL 33317-3780 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760719272 | Wallace E Waldman | Internal Medicine | 721 Conchshell Manor, Plantation, FL 33324-2901 | 2009-11-05 |
| 1013975564 | Elliot Mark Wortzel | Internal Medicine | 201 Nw 82 Ave, Suite 305, Plantation, FL 33324 | 2006-05-03 |
| 1588631998 | Aryama D Sharma | Internal Medicine | 260 Sw 84th Ave, Ste A, Plantation, FL 33324 | 2006-03-03 |
| 1659344893 | Joel S Feiss | Internal Medicine | 8329 W Sunrise Blvd, Plantation, FL 33322-5405 | 2006-02-08 |
| 1902809114 | James C Wolper | Internal Medicine | 11351 Nw 6th St, Plantation, FL 33325 | 2005-05-23 |
| 1154638385 | Satya P Singh Md Pa | Internal Medicine | 300 Nw 70th Ave, Suite 205, Plantation, FL 33317-2384 | 2010-09-09 |
| 1720228430 | Aryama D Sharma Md Pa | Internal Medicine | 260 Sw 84th Ave, Suite A, Plantation, FL 33324-2715 | 2009-02-20 |
| 1144473323 | Elliot M Wortzel Md Pa | Internal Medicine | 201 Nw 82nd Ave, #305, Plantation, FL 33324-7808 | 2008-10-31 |
| 1427227222 | Luckman, Feiss and Soff, Md Pa | Internal Medicine | 201 Nw 82nd Ave, Suite 202, Plantation, FL 33324-7808 | 2008-02-26 |
| 1598895260 | Marney Goldstein | Internal Medicine | 8329 W Sunrise Blvd, Plantation, FL 33322-5405 | 2007-03-06 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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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.