Patricia A Dickerson (NPI# 1336132950, PAC ID# 2466457148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1336132950 |
PAC ID by PECOS | 2466457148 |
Professional Enrollment ID | I20061002000629 |
Full Name | Patricia A Dickerson |
Organization Legal Name | DERMATOLOGY AND AESTHETIC CARE LLC |
Address |
1299 E Alex Bell Rd Centerville OH 45459-2658 |
Phone Number | 9374361117 |
Gender | F |
Credential | MD |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 2264618511 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1299 E Alex Bell Rd, Centerville, OH 45459-2658 | 9374361117 | DERMATOLOGY AND AESTHETIC CARE LLC |
Organization Legal Name | DERMATOLOGY AND AESTHETIC CARE LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy M Buschur | Nurse Practitioner | Dermatology and Aesthetic Care LLC | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 |
Emily S Monroe | Physician Assistant | Dermatology and Aesthetic Care LLC | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 |
Joni Lynn Mcelroy | Nurse Practitioner | Dermatology and Aesthetic Care LLC | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 |
Street Address |
1299 E ALEX BELL RD |
City | CENTERVILLE |
State | OH |
Zip | 45459-2658 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy M Buschur | Nurse Practitioner | Dermatology and Aesthetic Care LLC | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 |
Emily S Monroe | Physician Assistant | Dermatology and Aesthetic Care LLC | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 |
Joni Lynn Mcelroy | Nurse Practitioner | Dermatology and Aesthetic Care LLC | 1299 E Alex Bell Rd, Centerville, OH 45459-2658 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas W Hirt | Family Medicine | Premier Integrated Medical Assoc Ltd | 6520 Acro Court, Centerville, OH 45459 |
James R Ouellette | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Matthew P Doepker | Surgical Oncology | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Leandra Gray | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Kamran A Jafree | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
John H Matsuura | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Murtuza H Habeeb | Vascular Surgery | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Jessica R Wozniak | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 350, Centerville, OH 45459-1294 |
Sharda Gupta | Pathology | 5895 Batsford Dr, Dayton, OH 45459-1456 | |
Gary D Palmer | Dermatology | 6720 Loop Rd, Centerville, OH 45459-2161 | |
Find all physicians in zip 45459 |
City | CENTERVILLE |
Zip Code | 45459 |
Specialty | DERMATOLOGY |
City + Specialty | CENTERVILLE + DERMATOLOGY |
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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.