CYNTHIA K. DICKINSON NPI 1952491284

NPI Information

NPI: 1952491284
Provider Name: CYNTHIA K. DICKINSON
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
200 E PENNSYLVANIA AVE
PEORIA, IL
ZIP 61603
Phone: (309) 655-7900
Get Directions

Cynthia K. Dickinson is a medical physician assistant in Peoria, IL. Cynthia K. Dickinson NPI is 1952491284. 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:

200 E PENNSYLVANIA AVE
PEORIA, IL
ZIP 61603-089
Phone: (309) 655-7900
Fax: (309) 655-7903

The enumeration date for this NPI number is 10/16/2006 and was last updated on 7/8/2007.

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	363AM0700X	Physician Assistant	Medical	041141001/209001084	ILLINOIS	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	Other Provider Identifier Issuer
1	952320	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	INDIVIDUAL #
2	S69904	MEDICARE UPIN
3	K36908	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	INDIVIDUAL # (EFF 5-22-07
4	809840	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP #
5	CA4079	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RR GROUP #

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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