Adam Davis Dicks (NPI# 1780047936, PAC ID# 0042541740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1780047936 |
| PAC ID by PECOS | 0042541740 |
| Professional Enrollment ID | I20191010002228 |
| Full Name | Adam Davis Dicks |
| Organization Legal Name | SOUTWEST PODIATRY, P.C. |
| Address |
680 W Monroe St Wytheville VA 24382-2240 |
| Phone Number | 2762282212 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 3678559762 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490038 | SMYTH COUNTY COMMUNITY HOSPITAL |
| 490111 | WYTHE COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 680 W Monroe St, Wytheville, VA 24382-2240 | 2762282212 | SOUTWEST PODIATRY, P.C. |
| Organization Legal Name | SOUTWEST PODIATRY, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ted R Johnson | Podiatry | Soutwest Podiatry, P.C. | 5270 Alexander Rd, Dublin, VA 24084-3650 |
| Janet E Bechtel | Podiatry | Soutwest Podiatry, P.C. | 680 W Monroe St, Wytheville, VA 24382-2240 |
| Heather B Pearman | Podiatry | Soutwest Podiatry, P.C. | 680 W Monroe St, Wytheville, VA 24382-2240 |
| Street Address |
680 W MONROE ST |
| City | WYTHEVILLE |
| State | VA |
| Zip | 24382-2240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet E Bechtel | Podiatry | Soutwest Podiatry, P.C. | 680 W Monroe St, Wytheville, VA 24382-2240 |
| Heather B Pearman | Podiatry | Soutwest Podiatry, P.C. | 680 W Monroe St, Wytheville, VA 24382-2240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tommi S Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
| Noah A Malavolti | Chiropractic | Blue Ridge Chiropractic Clinic P.C. | 1135 W Lee Hwy, Wytheville, VA 24382 |
| Erin Elizabeth Justice | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Christopher G Palmer | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Richard D Brenner | Anesthesiology | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Paul J Roberto | Urology | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| James C Hataway | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Karl A Ritch | Diagnostic Radiology | Radiology Consultants of Wytheville | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Norman Paul Morin Ii | Orthopedic Surgery | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Gwendolyn F Sechrest | Nurse Practitioner | Wythe County Physician Practices LLC | 600 W Ridge Rd, Wytheville, VA 24382-1044 |
| Find all physicians in zip 24382 | |||
| City | WYTHEVILLE |
| Zip Code | 24382 |
| Specialty | PODIATRY |
| City + Specialty | WYTHEVILLE + PODIATRY |
Please comment or provide details below to improve the information on Adam Davis Dicks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.