Dicky Lee Paige, P.A.
Individual provider Active NPI Physician Assistant · Belleville, KS
NPI 1093739732 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093739732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-00378 (KS)
- Practice address
- 2337 G St
Suite 2
Belleville, KS 66935-2463 - Phone
- (785) 527-2237
- Fax
- (785) 527-2820
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00378 | KS | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-00378 | KS | Yes |
Addresses
Primary practice location
2337 G St
Suite 2
Belleville, KS 66935-2463
Mailing address
2337 G St
Suite 2
Belleville, KS 66935-2463
Phone (785) 527-2237
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023170 | Other | KS | BLUECROSS BLUE SHIELD KS |
Other providers in Belleville, KS
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- Susan Me'Chelle Oliver
- Lydia Pachta
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- Veronica Pitchford
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- Republic County Family Physicians, CHTD.
- Republic County Unified School
All providers in Belleville, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.