Active NPI
James Dickson
- Obstetrics & Gynecology Physician
- Geneva, NY
National Provider Identifier
1235201559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 124504
- Practice address
- 200 North St
Suite 101
Geneva, NY 14456-1561 - Phone
- (315) 787-5100
- Fax
- (315) 787-5108
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 124504 | NY | Primary |
Addresses
Primary practice location
200 North St
Suite 101
Geneva, NY 14456-1561
Mailing address
200 North St
Suite 101
Geneva, NY 14456-1561
Phone (315) 787-5100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 456313 | Medicaid | NY | |
| P00003452 | Other | NY | R.R. MEDICARE |
| 102240CK | Other | NY | PREFERRED CARE |
| 297937 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124504 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235201559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTH ST",
"address_2": "SUITE 101",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561561",
"telephone_number": "315-787-5100",
"fax_number": "315-787-5108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORTH ST",
"address_2": "SUITE 101",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561561",
"telephone_number": "315-787-5100",
"fax_number": "315-787-5108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "124504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "456313",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "P00003452",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102240CK",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "297937",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Geneva, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.