Timothy Dickinson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TD035680 Issued in MI

Practice address

551 Linn Street
Allegan, MI 49010

Phone

(269) 686-5800

Fax

(269) 686-5899

NPI assigned

Nov 9, 2005

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

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in MI

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: timothy.dickinson.p1@direct.alleganfamilyhealth.nextgenshare.com

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.

• Ascension Borgess Allegan Hospital

  • Multi-Specialty Clinic/Center
  • Allegan, MI
  • NPI 1144531252
  Medicare reassignment NPD
• Ascension Borgess Allegan Hospital

  • Rural Health Clinic/Center
  • Allegan, MI
  • NPI 1265910343
  NPD
• Ascension Borgess Allegan Hospital

  • Hospitalist Physician
  • Allegan, MI
  • NPI 1992668925
  NPD

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1316928161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LINN STREET",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "49010",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINN STREET",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "49010",
            "telephone_number": "269-686-5800",
            "fax_number": "269-686-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TD035680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP PROV #",
            "identifier": "01-30456",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MI",
            "identifier": "15403",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "TD035680",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CHOICE OF MI",
            "identifier": "5714",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P53504",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI PROV #",
            "identifier": "0800307672",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080069543",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1276855",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1826150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00361393",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Dewitt Davis, MD. FAAP
• Dejonge Physical Therapy, LLC
• Jennifer Ann Dentler, NP-C
• Jacquelyn S Dewaal, M.A., CCC-SLP
• Jamie Lee Dickerson, M.A. LPC
• Cassie Marie Dill, M.S. OTR/L
• Terri L Doezema, LLP
• Meghan Noud Dopp, PA-C
• Aaron James Dortch, LMSW
• Mary Susan Dotson

• Family Medicine Physician in Allegan, MI
• Providers in Allegan, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.