Michael Dickens Jr.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

2400795 Issued in OH

Practice address

2427 Bogus Rd SE
Washington Court House, OH 43160-8707

Phone

(614) 747-9733

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1912500588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 BOGUS RD SE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431608707",
            "telephone_number": "614-747-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 BOGUS RD SE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431608707",
            "telephone_number": "614-747-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2400795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Dawes
• Christine Denayer, MS, CCC-SLP
• Dennis a Mesker MD Et Al PTR (NecesaCare L.L.C. dba Court House Family Medicine and/or Fayette Co. U)
• Kathy Lynn Depugh, L.P.N
• John R Desmarais, MD
• Stephanie Adele Donoian, LPN
• Dr Stephanie McDonald OD LLC (Fayette EyeCare)
• Ronald Alvah Dunn Jr.
• Earley & Ross of Fayette County L,LLC (Wintersong Village)
• Earley & Ross of Fayette County LL,LLC (hillcrest manor)

• Home Health Aide in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.