Michael M. Dickerson, MD

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

MICHAEL M. DICKERSON, MD

Practice address

1602 Greenmont Hills Dr
Vienna, WV 26105-3292

Phone

(304) 420-7156

NPI assigned

Mar 18, 2009

Organization subpart

No

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

Authorized official

Name

Michael M. Dickerson, MDNPI 1073512059

Title

Owner

Phone

(304) 420-7156

Specialties & licenses 1

Addresses

Other names 1

• MD Associates Other name

Practitioners 1

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

• Michael M Dickerson, M.D.

  • Emergency Medicine Physician
  • Parkersburg, WV
  • NPI 1073512059
  NPD (past) Authorized official

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1912148164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 GREENMONT HILLS DR",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261053292",
            "telephone_number": "304-420-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 GREENMONT HILLS DR",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261053292",
            "telephone_number": "304-420-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M. DICKERSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-420-7156",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Medexpress Urgent Care, PC - Virginia (MedExpress Urgent Care - Michael Beane, M.D.)
• Medexpress Urgent Care, PLLC - Parkersburg
• Menm, LLC (Miracle Ear)
• Mental Health Balance & Development, LLC
• Angela Dawn Merritt
• Michael Shramowiat LLC
• Mid-Ohio Valley Medical Group, Inc
• Mid-Ohio Valley Medical Group, Inc. (Movmg Lab)
• Mid-Ohio Valley Nephrology Association
• Stevan J. Milhoan, MD

• Emergency Care Clinic/Center in Vienna, WV
• Providers in Vienna, WV by specialty
• Emergency Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.