ANDREW C DICKLER M.D. NPI 1306892468

NPI Information

NPI: 1306892468
Provider Name: ANDREW C DICKLER, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6000
Get Directions

Andrew C Dickler, M.D. is a critical care medicine internal medicine in Saint Louis, MO. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Andrew C Dickler, M.D. NPI is 1306892468. 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:

615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-6000
Fax: (314) 251-1390

The NPI 1306892468 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 5/26/2006 and was last updated on 3/29/2013.

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	207R00000X	Internal Medicine		R9442	MISSOURI	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	R9442	MISSOURI	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	036105017	ILLINOIS	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	036105017	ILLINOIS	No
5	207R00000X	Internal Medicine		036105017	ILLINOIS	No
6	207RC0200X	Internal Medicine	Critical Care Medicine	R9442	MISSOURI	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	918930091	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	SJH-MO
2	918930238	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	SJHW-MO

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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