Walter D. Dickson DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SC001379-L Issued in PA

Legal business name

WALTER D. DICKSON DPM

Practice address

310 State Route 288
Ellwood City, PA 16117-5544

Phone

(724) 758-5564

Fax

(724) 758-6251

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walter D. Dickson, D.P.M.

Title

Owner

Phone

(724) 758-5564

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1295916153",
    "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": "161175544",
            "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": "161175544",
            "telephone_number": "724-758-5564",
            "fax_number": "724-758-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER D. DICKSON DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-758-5564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC001379-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.