Clarice Y Dicks (NPI# 1558365825, PAC ID# 5991770471) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1558365825 |
PAC ID by PECOS | 5991770471 |
Professional Enrollment ID | I20040827001172 |
Full Name | Clarice Y Dicks |
Organization Legal Name | ROSE BOWLING, LLC |
Address |
2161 Lexington Rd Suite 5 Richmond KY 40475-7952 |
Phone Number | 8596267794 |
Gender | F |
Credential | PA |
Graduation Year | 1998 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5698749216 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180049 | BAPTIST HEALTH RICHMOND |
Address | Phone | Organization |
---|---|---|
2161 Lexington Rd, Suite 5, Richmond, KY 40475-7952 | 8596267794 | ROSE BOWLING, LLC |
Organization Legal Name | ROSE BOWLING, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly H Sowden | Nurse Practitioner | Rose Bowling, LLC | 2161 Lexington Rd, Suite 5, Richmond, KY 40475-7952 |
Street Address |
2161 LEXINGTON RD SUITE 5 |
City | RICHMOND |
State | KY |
Zip | 40475-7952 |
Name | Specialty | Organization | Address |
---|---|---|---|
John M Johnstone | Cardiovascular Disease (cardiology) | 2161 Lexington Rd, Suite 1, Richmond, KY 40475-7952 | |
Kimberly H Sowden | Nurse Practitioner | Rose Bowling, LLC | 2161 Lexington Rd, Suite 5, Richmond, KY 40475-7952 |
Name | Specialty | Organization | Address |
---|---|---|---|
William R Crowe Jr. | Urology | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
Heather J Mcclure | Nurse Practitioner | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
Stuart Martin | Anesthesiology | Ethan Health LLC | 1623 Foxhaven Dr, Richmond, KY 40475-1056 |
Rebecca H Proudfoot | Clinical Social Worker | 238 N 2nd St, Suite 1, Richmond, KY 40475-1484 | |
Linda J Clark | Clinical Social Worker | 238 N 2nd St, Suite 1, Richmond, KY 40475-1484 | |
Marshall J Ney Jr. | Oral Surgery | 527 W Main St, Richmond, KY 40475-1880 | |
James Tait Iv | Chiropractic | Richmond Family Chiropractic | 301 Big Hill Ave, Richmond, KY 40475-2011 |
Shawn Warren | Chiropractic | Richmond Family Chiropractic | 301 Big Hill Ave, Richmond, KY 40475-2011 |
Lauren Audrey Puckett | Physician Assistant | Baptist Health Medical Group Inc | 131 Meadowlark Dr, Richmond, KY 40475-2235 |
Adrienne J Millett | Ophthalmology | Hh-ecc LLC | 238 Geri Ln, Richmond, KY 40475-2304 |
Find all physicians in zip 40475 |
City | RICHMOND |
Zip Code | 40475 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | RICHMOND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Clarice Y 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.