Dominic T Diciro (NPI# 1376596981, PAC ID# 1759270028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1376596981 |
| PAC ID by PECOS | 1759270028 |
| Professional Enrollment ID | I20120706000431 |
| Full Name | Dominic T Diciro |
| Organization Legal Name | SIKESTON EMERGENCY GROUP LLC |
| Address |
1008 N Main St Sikeston MO 63801-5044 |
| Phone Number | 5734711600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6305112814 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260113 | MISSOURI DELTA MEDICAL CENTER |
| 180124 | GREENVIEW REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1008 N Main St, Sikeston, MO 63801-5044 | 5734711600 | SIKESTON EMERGENCY GROUP LLC |
| Organization Legal Name | SIKESTON EMERGENCY GROUP LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica L Wilson | Nurse Practitioner | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Michael D Barnum | Emergency Medicine | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Jeremy Scott Lawson | Nurse Practitioner | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Tirso J Aldana | Internal Medicine | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Valerie Ann Campbell | Nurse Practitioner | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Charles A Swafford | General Practice | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| John D Walton | Family Medicine | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Street Address |
1008 N MAIN ST |
| City | SIKESTON |
| State | MO |
| Zip | 63801-5044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Edward Hazlehurst | Optometry | Gailey Eye Clinic, Ltd | 1008 N Main St, Bloomington, IL 61701-1784 |
| Erica L Wilson | Nurse Practitioner | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Giuseppe Galati | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Matthew A Lavalle | Anesthesiology | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Kristain D Carroll | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Lee T Hammon | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesiology Associates of Mo LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| Briana L Thompson | Nurse Practitioner | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5044 |
| Michael D Barnum | Emergency Medicine | Sikeston Emergency Group LLC | 1008 N Main St, Sikeston, MO 63801-5044 |
| George Katsantonis | Otolaryngology | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5099 |
| Lauren Denise Blackwelder | Emergency Medicine | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5044 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake A Borders | Nurse Practitioner | Managed Care Inc | 808 Hunter Ave, Suite 4, Sikeston, MO 63801-2253 |
| Melinda G Lambert | Nurse Practitioner | Managed Care Inc | 808 Hunter Ave, Suite 4, Sikeston, MO 63801-2253 |
| Kenneth W Rubenacker | Qualified Audiologist | 417 B S Kingshighway St, Area Hearing Services, Sikeston, MO 63801-2923 | |
| Leslie S Winchester | Chiropractic | Winchester Chiropractic and Wellness PC | 521 Greer Ave, Sikeston, MO 63801-3023 |
| Jack C Mills | Chiropractic | 1222 Linn St, Sikeston, MO 63801-3402 | |
| Brett E Taylor | Chiropractic | 1222 Linn St, Sikeston, MO 63801-3402 | |
| Danielle Elizabeth Jansen | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Daniel G Domjan | Family Medicine | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Rebecca Vanessa Young | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| William B Bradley | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Find all physicians in zip 63801 | |||
| City | SIKESTON |
| Zip Code | 63801 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SIKESTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Dominic T Diciro.
| 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.