Keith S Dickerson (NPI# 1043296924, PAC ID# 7618945551) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043296924 |
| PAC ID by PECOS | 7618945551 |
| Professional Enrollment ID | I20040920000440 |
| Full Name | Keith S Dickerson |
| Organization Legal Name | ST MARYS HOSPITAL AND MEDICAL CENTER INC |
| Address |
2635 N 7th 4205 St Mary's Hospitalist Program Grand Junction CO 81501-8209 |
| Phone Number | 9702987049 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF PENNSYLVANIA |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557267069 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060023 | ST MARYS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 | 9702987049 | ST MARYS HOSPITAL AND MEDICAL CENTER INC |
| 2635 N 7th St, Grand Junction, CO 81501-8209 | ST MARYS HOSPITAL AND MEDICAL CENTER INC | |
| 2698 Patterson Rd, Grand Junction, CO 81506-8818 | 9702982800 | ST MARYS HOSPITAL AND MEDICAL CENTER INC |
| 2698 Patterson Rd Entrance, 43 Integrated Addiction Medicine, Grand Junction, CO 81506-8818 | 9702983801 | ST MARYS HOSPITAL AND MEDICAL CENTER INC |
| Organization Legal Name | ST MARYS HOSPITAL AND MEDICAL CENTER INC |
| Physicians | 66 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Fletcher Colwell | Family Medicine | St Marys Hospital and Medical Center Inc | 2698 Patterson Rd, Grand Junction, CO 81506-8818 |
| S Christopher Weaver | Family Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Laura J Davis | Internal Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Mitchell J Gershten | Internal Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Ryan K Jackman | Family Medicine | St Marys Hospital and Medical Center Inc | 2698 Patterson Rd, Grand Junction, CO 81506-8818 |
| Jennifer A Roller | Family Medicine | St Marys Hospital and Medical Center Inc | 2698 Patterson Rd, Grand Junction, CO 81506-8818 |
| Andrew D Jones | Family Medicine | St Marys Hospital and Medical Center Inc | 2698 Patterson Rd, Grand Junction, CO 81506-8818 |
| Monique H Morisseau | Family Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Christina Ann Travis | Nurse Practitioner | St Marys Hospital and Medical Center Inc | 2698 Patterson Rd, Grand Junction, CO 81506-8818 |
| Victor L Barton | Internal Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Street Address |
2635 N 7TH 4205 ST MARY'S HOSPITALIST PROGRAM |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81501-8209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| S Christopher Weaver | Family Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Laura J Davis | Internal Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Mitchell J Gershten | Internal Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Monique H Morisseau | Family Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Victor L Barton | Internal Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Bethany S Peckler | Nurse Practitioner | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Betsy J Longenecker | Family Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Thomas S Motz | Family Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Patricia C Kimerling | Nurse Practitioner | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Joshua Terrell Carpenter | Internal Medicine | St Marys Hospital and Medical Center Inc | 2635 N 7th, 4205 St Mary's Hospitalist Program, Grand Junction, CO 81501-8209 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikos P Hollis | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Leah N Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Rosa Louise Brey Gardner | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Erica D Lovett Fournier | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jared Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jeanne M Haberer | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Crystal Dawn Owens | Hospice/palliative Care | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephanie Sayers | Osteopathic Manipulative Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephen R Pyland | Clinical Social Worker | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Andrea L Nederveld | Pediatric Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Find all physicians in zip 81501 | |||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRAND JUNCTION + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Keith S Dickerson.
| 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.