Gerald Lewis Dickman, D.O., PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1726 Issued in OK

Practice address

3400 NW Expressway
BLDG. C, Suite 604
Oklahoma City, OK 73112

Phone

(405) 945-4828

Fax

(405) 945-4829

NPI assigned

May 23, 2006

Last updated

Oct 10, 2007By the provider in NPPES

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 OK

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 Osteopathy

State licenses

Practice roles

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

• Gerald Lewis Dickman, D.O., PLLC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1497944573
  NPD (past) Authorized official
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1215982731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY",
            "address_2": "BLDG. C, SUITE 604",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-945-4828",
            "fax_number": "405-945-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NW EXPRESSWAY",
            "address_2": "BLDG. C, SUITE 604",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-945-4828",
            "fax_number": "405-945-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "GERALD",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.O., PLLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryn Dickerson
• Michael Dickerson, BA
• Ray D Dickerson, MD
• Elizabeth Dickey
• Jeremy Michael Dickinson
• Brian Dickson
• Jennifer Lea Dickson, RN
• Matthew Dickson
• Roberto M Didonato, MD
• Oksana Didyuk, M.D.

• Pediatrics Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.