Walter Dale Dickson, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC001379L Issued in PA

Practice address

310 State Route 288
Ellwood City, PA 16117

Phone

(724) 758-5564

Fax

(724) 758-6251

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Foot and Ankle Center, LLC

  • Podiatrist
  • Grove City, PA
  • NPI 1053651745
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1003885120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STATE ROUTE 288",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-758-5564",
            "fax_number": "724-758-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STATE ROUTE 288",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-758-5564",
            "fax_number": "724-758-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "WALTER",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001379L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - RAILROAD MEDICARE",
            "identifier": "P00472622",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Joe Davis, M.A., L.P.C.
• Megan Lee Davis, MA, CCC-SLP
• Sharon R Dawso, M.D.
• Tyler Dean, OD
• Mark William Deitrick, LPC
• Doctor Bella & Associates PC
• Dolter Chiropractic
• Larry Lester Dolter, DC
• Dr. Robert C. Macmurdo, DMD Family Dentistry PLLC
• Amanda Elizabeth Duncan X, D.C.

• Podiatrist in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.