Hiram Dickinson (NPI# 1366879439, PAC ID# 3971739319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366879439 |
| PAC ID by PECOS | 3971739319 |
| Professional Enrollment ID | I20131202000280 |
| Full Name | Hiram Dickinson |
| Organization Legal Name | LEGGETT MEDICAL GROUP INC |
| Address |
651 Se 41st Ave Trenton FL 32693-5003 |
| Phone Number | 9416858914 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7113994195 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 651 Se 41st Ave, Trenton, FL 32693-5003 | 9416858914 | LEGGETT MEDICAL GROUP INC |
| Organization Legal Name | LEGGETT MEDICAL GROUP INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Bishop | Nurse Practitioner | Leggett Medical Group Inc | 651 Se 41st Ave, Trenton, FL 32693-5003 |
| Karen Leggett | Family Medicine | Leggett Medical Group Inc | 6150 Edgelake Dr, Sarasota, FL 34240-8803 |
| Rhonda R Holb | Nurse Practitioner | Leggett Medical Group Inc | 651 Se 41st Ave, Trenton, FL 32693-5003 |
| Street Address |
651 SE 41ST AVE |
| City | TRENTON |
| State | FL |
| Zip | 32693-5003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Bishop | Nurse Practitioner | Leggett Medical Group Inc | 651 Se 41st Ave, Trenton, FL 32693-5003 |
| Rhonda R Holb | Nurse Practitioner | Leggett Medical Group Inc | 651 Se 41st Ave, Trenton, FL 32693-5003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lilia Acebron | Nurse Practitioner | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Shonverea Robinson | General Practice | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Anubha Gupta | Family Medicine | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Brianna Riehl | Nurse Practitioner | Trenton Medical Center, Inc | 911 S Main St, Trenton, FL 32693-3239 |
| Lukose Jacob | Clinical Social Worker | Serenity Psychological Services Inc | 7280 Swstate Rd, Suite 26, Trenton, FL 32693-5881 |
| City | TRENTON |
| Zip Code | 32693 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TRENTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Hiram Dickinson.
| 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.