Dickerman Hollister, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

022791 Issued in CT

Practice address

77 Lafayette PL
Greenwich, CT 06830-5426

Phone

(203) 863-3737

Fax

(203) 863-3741

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD
• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment NPD
• Mill Hill Medical Consultants Inc

  • Hospitalist Physician
  • New Haven, CT
  • NPI 1952624769
  NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063420669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305426",
            "telephone_number": "203-863-3737",
            "fax_number": "203-863-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 LAFAYETTE PL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305426",
            "telephone_number": "203-863-3737",
            "fax_number": "203-863-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "DICKERMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "022791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHI Hoang
• Laura J Hodges, M.D.
• Dale Hoffman, LCSW
• Renee Holland, MS CCC-SLP
• Michelle M Holleran, LCSW
• John Hooks V, DO
• Sarah Camille Hopkins, MS, LCGC
• Stephanie Seitz Hotchkiss, DDS
• Olivia Jie Hu, DO
• Eric Li-Ming Huang, BSC, PHARMD

• Medical Oncology Physician in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Medical Oncology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.