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DR. JASON LEE DICKHERBER M.D. NPI 1093164428


NPI Information

NPI: 1093164428
Provider Name: DR. JASON LEE DICKHERBER, M.D.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

PECOS Registration: Yes

Address:
3050 E RIVER BLUFF BLVD
OZARK, MO
ZIP 65721
Phone: (417) 820-5610
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DR. Jason Lee Dickherber, M.D. is a hand surgery orthopaedic surgery in Ozark, MO with 8 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Jason Lee Dickherber, M.D. NPI is 1093164428. 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:

3050 E RIVER BLUFF BLVD
OZARK, MO
ZIP 65721-807
Phone: (417) 820-5610

The NPI 1093164428 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 6/7/2016 and was last updated on 9/29/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery125.068748ILLINOISNo
2207X00000XOrthopaedic SurgeryMD17602RHODE ISLANDNo
3207XS0106XOrthopaedic SurgeryHand Surgery2022038653MISSOURIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.