Heather Annatoyn Dickson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301042488 Issued in MI

Practice address

114 Kercheval Ave
Grosse Pointe Farms, MI 48236-3619

Phone

(313) 886-4060

Fax

(313) 886-4043

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2007 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1700983350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15621 WINDMILL POINTE DR",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301858",
            "telephone_number": "313-822-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KERCHEVAL AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363619",
            "telephone_number": "313-886-4060",
            "fax_number": "313-886-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "HEATHER",
        "middle_name": "ANNATOYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301042488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Deimel, M.A.,CCC-SLP
• Anthony Francis Deluca
• Milton James Desgrandchamp, CRNA
• Mark Rene Desroberts, M.A.,L.L.P.
• Diane S Smith PC
• Robert R Diloreto, M.D.
• Michael James Dionne, M.D.
• Jonathan Doellner
• Emily Lyn Dreshaj, DPT
• Gloria Ilene Durocher, L.M.S.W.

• Family Medicine Physician in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, 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 May 12, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.