JONATHAN DAVID DICKSON PA-C NPI 1487110474

NPI Information

  • NPI: 1487110474
  • Provider Name: JONATHAN DAVID DICKSON, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1444 E STEARNS ST STE 11
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 718-7546

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NPI Details

Jonathan David Dickson, PA-C is a physician assistant in Fayetteville, AR with 6 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Jonathan David Dickson, PA-C NPI is 1487110474. 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:

1444 E STEARNS ST STE 11
FAYETTEVILLE, AR
ZIP 72703-969
Phone: (479) 718-7546

The NPI 1487110474 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)
  • Injection of contrast for imaging of lower spinal canal (HCPCS:62284)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Injection of contrast for imaging of shoulder joint (HCPCS:23350)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • Insertion of stomach tube through nose or mouth using fluoroscopic guidance (HCPCS:43752)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 2/14/2019 and was last updated on 5/1/2023.

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
1363A00000XPhysician AssistantPA13777TEXASNo
2363A00000XPhysician AssistantPA-1154ARKANSASYes

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: 3/30/2025

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