Robert H Dickason D O P C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5101006962 Issued in MI

Legal business name

ROBERT H DICKASON D O P C

Practice address

5400 Fort St
Suite 210
Trenton, MI 48183-4632

Phone

(734) 676-5353

Fax

(734) 676-5524

NPI assigned

Aug 2, 2011

Organization subpart

No

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

Authorized official

Name

Robert H Dickason, D.O.NPI 1710979869

Title

President

Phone

(734) 676-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert H Dickason, DO

  • Colon & Rectal Surgery Physician
  • Trenton, MI
  • NPI 1710979869
  Medicare reassignment Authorized official
• Paula Marie Nixon

  • Nurse Practitioner
  • Hastings, MI
  • NPI 1871122598
  NPD (past)
• Wathek Sakka, MD

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1316027865
  NPD (past)

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1689952061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 210",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-676-5353",
            "fax_number": "734-676-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FORT ST",
            "address_2": "SUITE 210",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834632",
            "telephone_number": "734-676-5353",
            "fax_number": "734-676-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H DICKASON D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "DICKASON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-676-5353",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101006962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710979869",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Urgent Care & Medical Clinic PC
• Riverfront Speech Therapy LLC
• Riverside OB GYN P C
• Riverside Prof. Drug Inc.
• Riverside Professional Drug Inc
• Emma Marie Roberts
• Lauren Roberts
• Anke U Robinson, M.D.
• Alec Christopher Robitaille, DO, MPH
• Emily Rodman, PA

• Surgery Physician in Trenton, MI
• Providers in Trenton, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.