Jeremy Dickerson (NPI# 1043446206, PAC ID# 8729221858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
Nation Provider ID (NPI) | 1043446206 |
PAC ID by PECOS | 8729221858 |
Professional Enrollment ID | I20130821000415 |
Full Name | Jeremy Dickerson |
Organization Legal Name | METHODIST PHYSICIAN PRACTICES PLLC |
Address |
1139 E Sonterra Blvd Suite 205 San Antonio TX 78258-4349 |
Phone Number | 2102239617 |
Gender | M |
Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
Graduation Year | 2009 |
Primary Specialty | SPORTS MEDICINE |
Group Practice PAC ID | 8022171974 |
Number of Group Practice Members | 124 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450130 | NIX HEALTH CARE SYSTEM |
Address | Phone | Organization |
---|---|---|
1139 E Sonterra Blvd, Suite 205, San Antonio, TX 78258-4349 | 2102239617 | METHODIST PHYSICIAN PRACTICES PLLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | METHODIST PHYSICIAN PRACTICES PLLC |
Physicians | 133 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory T Altemose | Cardiac Electrophysiology | Methodist Physician Practices Pllc | 301 Junction Hwy, Suite 220, Kerrville, TX 78028-4203 |
Osama I Ahmed | Neurosurgery | Methodist Physician Practices Pllc | 12702 N Ih, Suite 35, Live Oak, TX 78233-2609 |
Ashwini Kumar | General Surgery | Methodist Physician Practices Pllc | 1907 Hwy 97 E, Suite 220, Jourdanton, TX 78026-1538 |
Ju-hsien Chao | Hematology/oncology | Methodist Physician Practices Pllc | 4450 Medical Dr, Fl 1, San Antonio, TX 78229-3710 |
Dina X Goytia-leos | Internal Medicine | Methodist Physician Practices Pllc | 250 E Basse Rd, Suite 107, San Antonio, TX 78209-8409 |
Christopher E White | General Surgery | Methodist Physician Practices Pllc | 12709 Toepperwein Rd, Suite 302, Live Oak, TX 78233-3260 |
Michael R Gonzales | Cardiovascular Disease (cardiology) | Methodist Physician Practices Pllc | 1250 W Hondo Ave, Devine, TX 78016-1924 |
Grace Balderas | Certified Clinical Nurse Specialist (cns) | Methodist Physician Practices Pllc | 6800 W Ih, 10 Suite 350, San Antonio, TX 78201-2044 |
Linda L Hill | Certified Clinical Nurse Specialist (cns) | Methodist Physician Practices Pllc | 109 Falls Ct, Suite 300, Boerne, TX 78006-2980 |
Socrates B Aramburu | Cardiovascular Disease (cardiology) | Methodist Physician Practices Pllc | 111 Dallas St, San Antonio, TX 78205-1201 |
Street Address |
1139 E SONTERRA BLVD SUITE 205 |
City | SAN ANTONIO |
State | TX |
Zip | 78258-4349 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bryan K Oditt | Physician Assistant | Redland Ridge Inpatient Services Pllc | 1139 E Sonterra Blvd, Methodist Stone Oak Hosp, San Antonio, TX 78258-4347 |
Kathleen Hubbard | Nurse Practitioner | Cardiology Clinic of San Antonio, Pllc | 1139 E Sonterra Blvd, Suite 520, San Antonio, TX 78258-4347 |
Harrison W Yoo | Internal Medicine | Methodist Physician Practices Pllc | 1139 E Sonterra Blvd, Suite 405, San Antonio, TX 78258-4352 |
Matthew M Dwyer | Orthopedic Surgery | Orthopedic Performance Institute | 1139 E Sonterra Blvd, Suite 500, San Antonio, TX 78258-4352 |
Allison Hutcherson | Physician Assistant | Robert A Zajac Md Pa | 1139 E Sonterra Blvd, Methodist Stone Oak Hospital, San Antonio, TX 78258-3999 |
David Salazar | Critical Care (intensivists) | David Salazar, M.d., P.a. | 1139 E Sonterra Blvd, Suite 300, San Antonio, TX 78258-4347 |
Tony Chen | Physician Assistant | Orthopedic Performance Institute | 1139 E Sonterra Blvd, Suite 500, San Antonio, TX 78258-4352 |
Jose Miguel Iturbe | Interventional Cardiology | Cardiology Clinic of San Antonio, Pllc | 1139 E Sonterra Blvd, San Antonio, TX 78258-4347 |
Ashlee D Dugger | Nurse Practitioner | Jennifer D. Brody Md Pa | 1139 E Sonterra Blvd, Suite 300, San Antonio, TX 78258-4347 |
Abby M. Gardner | Internal Medicine | Methodist Physician Practices Pllc | 1139 E Sonterra Blvd, Suite 405, San Antonio, TX 78258-4352 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Shenila Rajani | Optometry | 12349 I, Suite 35, San Antonio, TX 78258 | |
Renee T Dunlap | Optometry | Renee Tomes Dunlap, Od, Pllc | 21019 Us Hwy 281 N, Suite 832, San Antonio, TX 78258 |
Jesus Alcala | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
Mary Layne Ezzeddine | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
Zachary Pompei Miller | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
Hannah M Szilagy | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
Kimberly A Rios | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
Emily Martinez | Physical Therapy | Momentum Physical and Sports Rehabilitation Limited Partnership | 20821 Us Hwy 281 N, Suite 110, San Antonio, TX 78258-1593 |
Gina M Leonard-ziino | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 23530 Wilderness Oak, San Antonio, TX 78258-2406 |
Esha Jose | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 23530 Wilderness Oak, San Antonio, TX 78258-2406 |
Find all physicians in zip 78258 |
City | SAN ANTONIO |
Zip Code | 78258 |
Specialty | SPORTS MEDICINE |
City + Specialty | SAN ANTONIO + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Jeremy 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.