CHERYL DICKSON MD NPI 1326139270

NPI Information

NPI: 1326139270
Provider Name: CHERYL DICKSON, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1000 OAKLAND DRIVE
KALAMAZOO, MI
ZIP 49008
Phone: (269) 337-6400
Get Directions

Cheryl Dickson, MD is a pediatrics in Kalamazoo, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Cheryl Dickson, MD NPI is 1326139270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 OAKLAND DRIVE
KALAMAZOO, MI
ZIP 49008
Phone: (269) 337-6400

The NPI 1326139270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 2/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PP0204X	Emergency Medicine	Pediatric Emergency Medicine	25MA03976200	NEW JERSEY	No
2	208000000X	Pediatrics		25MA03976200	NEW JERSEY	No
3	208000000X	Pediatrics		MA39762	NEW JERSEY	No
4	208000000X	Pediatrics		4301104278	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2059002	MEDICAID	NEW JERSEY
2	655245	MEDICARE PIN	NEW JERSEY
3	D20060	MEDICARE UPIN	NEW JERSEY
4	855245	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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