Clark Bart Dickson (NPI# 1770560427, PAC ID# 5799713723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1770560427 |
| PAC ID by PECOS | 5799713723 |
| Professional Enrollment ID | I20070611000021 |
| Full Name | Clark Bart Dickson |
| Organization Legal Name | EAR NOSE AND THROAT CONSULTANTS PC |
| Address |
29201 Telegraph Rd Suite 500 Southfield MI 48034-7648 |
| Phone Number | 2485695985 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4284604174 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 17940 Farmington Rd, Suite 120, Livonia, MI 48152-3157 | 2485695985 | EAR NOSE AND THROAT CONSULTANTS PC |
| 26850 Providence Pkwy, Suite 165, Novi, MI 48374-1255 | 2485695985 | EAR NOSE AND THROAT CONSULTANTS PC |
| 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 | 2485695985 | EAR NOSE AND THROAT CONSULTANTS PC |
| 21603 Eleven Mile Rd, St Clair Shores, MI 48081-1636 | 2485695985 | EAR NOSE AND THROAT CONSULTANTS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 65% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 83% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 94% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% |
| Organization Legal Name | EAR NOSE AND THROAT CONSULTANTS PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra C Larson | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Marla Chaffee | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Robert Standring Jr. | Otolaryngology | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Alexandra A Matta | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Daniel S Ohara | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Lauren L Murrill | Otolaryngology | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Maggie Leonards | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Andrea Seker | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Lisa Ma Simon | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Adrienne V Johnson | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Street Address |
29201 TELEGRAPH RD SUITE 500 |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48034-7648 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Ober | Ophthalmology | Harold Weiss Mdandmark Haimann Mdandjoel Miller Mdandsusan Malinowski | 29201 Telegraph Rd, Suite 606, Southfield, MI 48034-7649 |
| Alexandra C Larson | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Harold Weiss | Ophthalmology | Harold Weiss Mdandmark Haimann Mdandjoel Miller Mdandsusan Malinowski | 29201 Telegraph Rd, Suite 606, Southfield, MI 48034-7649 |
| Marla Chaffee | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Patricia F Beach | Clinical Social Worker | Downriver Mental Health Clinic PC | 29201 Telegraph Rd, Suite 550, Southfield, MI 48034-7664 |
| Robert Standring Jr. | Otolaryngology | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| David G Heidemann | Ophthalmology | Michigan Cornea Consultants PC | 29201 Telegraph Rd, Suite 101, Southfield, MI 48034-7630 |
| Nan I Miller | Clinical Social Worker | Downriver Mental Health Clinic PC | 29201 Telegraph Rd, Suite 550, Southfield, MI 48034-7664 |
| Deborah M Perlman Ajlouny | Clinical Social Worker | Downriver Mental Health Clinic PC | 29201 Telegraph Rd, Suite 550, Southfield, MI 48034-7664 |
| Alexandra A Matta | Qualified Audiologist | Ear Nose and Throat Consultants PC | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-7648 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Korial Jerjies Atty | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Bruce E West | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Lisa L Cardwell | Obstetrics/gynecology | Better Womens Care Pllc | 29425 Northwestern Hwy 200, Southfield, MI 48034-1000 |
| Andrea C Lightbourn | Obstetrics/gynecology | 29600 Northwestern Hwy, Suite 104, Southfield, MI 48034-1016 | |
| George A Lightbourn | Urology | 29600 Northwestern Hwy 104, Southfield, MI 48034-1016 | |
| Rashmi Gupta | Neurology | 29592 Northwestern Hwy, Rashmi Gupta Md Sc, Southfield, MI 48034-1019 | |
| Annie Agbor Arrey-mensah | Allergy/immunology | 29355 Northwestern Hwy, Suite 300, Southfield, MI 48034-1045 | |
| Mary M Hillebrand | Psychologist, Clinical | 27288 Apple Blossom Ln, Southfield, MI 48034-1048 | |
| Daneen Heather Locke | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Lisa Marie Pilley | Physician Assistant | Singer Dermatology | 29355 Northwestern Hwy, Suite 302, Southfield, MI 48034-1053 |
| Find all physicians in zip 48034 | |||
| City | SOUTHFIELD |
| Zip Code | 48034 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SOUTHFIELD + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Clark Bart Dickson.
| 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.