Thomas Lee Dickey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

734 Issued in CO

Practice address

2930 11TH Ave
Evans, CO 80620-1011

Phone

(970) 353-9403

Fax

(970) 353-9906

NPI assigned

Jul 7, 2005

Last updated

Sep 7, 2010By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in CO, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quality Urgent Care Professional CorporationGroup PAC ID 5092053751, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Louisville, CO
  • NPI 1497227060
  Medicare reassignment Care Compare group NPD
• Pine Ridge Indian Health Service Hospital

  dba Pine Ridge IHS Hospital

  • General Acute Care Hospital
  • Pine Ridge, SD
  • NPI 1497786412

  TX

  Medicare reassignment NPD
• Urgent Care Centennial PC

  dba Doctors Express Urgent Care

  • Urgent Care Clinic/Center
  • Centennial, CO
  • NPI 1902128507
  Medicare reassignment
• Urgent Care Northern Colorado

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Fort Collins, CO
  • NPI 1154025104
  Medicare reassignment
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Longmont, CO
  • NPI 1891483442
  NPD
• Pine Ridge Indian Health Service Hospital

  dba LaCreek District Clinic

  • Clinic/Center
  • Martin, SD
  • NPI 1003208257
  NPD
• Quality Urgent Care Professional Corporation

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1417550591
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1740287598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94808228",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallas Mark Daniels, RDH
• Harlan David, PA-C
• Mary Winifred Davis-Pranke, NP
• Gabriel Giovanni De Santiago, CHI
• Maria S Diaz, LCSW, CAC III
• Ashley Dodds
• Felicia Marie Doherty, PA-C
• Don'T Dis My Abilities
• Dianne D Dressor, RID IC/TC, CT, CI
• Brittany Elizabeth Driscoll, PA-C

• Physician Assistant in Evans, CO
• Providers in Evans, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.