JAMISON DICUS PA-C NPI 1013261197

NPI Information

NPI: 1013261197
Provider Name: JAMISON DICUS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: HNI MEDICAL SERVICES OF FLORIDA, LLC

PECOS Registration: Yes

Address:
7370 COLLEGE PKWY STE 206
FORT MYERS, FL
ZIP 33907
Phone: (512) 730-3056
Get Directions

Jamison Dicus, PA-C is a surgical physician assistant in Fort Myers, FL with 12 years of experience. Jamison Dicus, PA-C NPI is 1013261197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7370 COLLEGE PKWY STE 206
FORT MYERS, FL
ZIP 33907-558
Phone: (512) 730-3056
Fax: (888) 730-1925

The NPI 1013261197 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 10/29/2012 and was last updated on 9/11/2019.

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	363AS0400X	Physician Assistant	Surgical	PA9106955	FLORIDA	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	PA9106955	OTHER	FLORIDA	MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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