Active NPI
James J Dickman III, MD
- Family Medicine Physician
- Richland Center, WI
National Provider Identifier
1811998552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42506
- Practice address
- 301 E 2ND St
Richland Center, WI 53581-1900 - Phone
- (608) 647-6161
- Fax
- (608) 647-3178
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42506 | WI | Primary |
Addresses
Primary practice location
301 E 2ND St
Richland Center, WI 53581-1900
Mailing address
301 E 2ND St
Richland Center, WI 53581-1900
Phone (608) 647-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34042600 | Medicaid | WI | |
| 0852480001 | Other | WI | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100119000604 | WI | Practitioner - Family Practice | 3274616628 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321
Hospital & facility affiliations
- SSM Health at Home Home Health-Wisconsin
- Agrace Hospicecare
- Richland Hospital
- University of Wi Hospitals & Clinics Authority
- Upland Hills Health
- Pine Valley Community Village
- Schmitt Woodland Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42506 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Hospital | Current | Accepting new patients | |
| Richland Hospital | Current | Accepting new patients | |
| Richland Hospital | Past | Accepting new patients |
Locations
301 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161
333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Richland Center, WI
- NPI 1558127480
-
- Rural Health Clinic/Center
- Muscoda, WI
- NPI 1437141710
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fitchburg, WI
- NPI 1861503534
Hospice
-
- Home Health Agency
- Madison, WI
- NPI 1275686404
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1811998552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 2ND ST",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535811900",
"telephone_number": "608-647-6161",
"fax_number": "608-647-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 2ND ST",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535811900",
"telephone_number": "608-647-6161",
"fax_number": "608-647-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKMAN",
"first_name": "JAMES",
"middle_name": "J",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "42506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34042600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0852480001",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richland Center, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.