Active NPI
Rob Dickerman DO PHD PA
- Neurological Surgery Physician
- Frisco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- ROB DICKERMAN DO PHD PA
- Practice address
- 5575 Frisco Square Blvd Ste 110
Frisco, TX 75034-3309 - Phone
- (972) 238-0512
- Fax
- (972) 378-6925
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rob Dickerman, D.O.
- Title
- Neurosurgeon
- Phone
- (972) 238-0512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
5575 Frisco Square Blvd Ste 110
Frisco, TX 75034-3309
Mailing address
6200 W Parker Rd
Mob1-503
Plano, TX 75093-7939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2595 Dallas Pkwy
Ste 412
Frisco, TX 75034
6200 W Parker Rd
#1503
Plano, TX 75093
Phone (972) 238-0512
6200 W Parker Rd
#1
Plano, TX 75093
Phone (972) 238-0512
6200 W Parker Rd
#1502
Plano, TX 75093
Phone (972) 238-0512
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Addison, TX
- NPI 1962424747
-
- Neurological Surgery Physician
- Lewisville, TX
- NPI 1902289150
-
- Physician Assistant
- Plano, TX
- NPI 1447277462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1942370960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 W PARKER RD",
"address_2": "MOB1-503",
"city": "PLANO",
"state": "TX",
"postal_code": "750937939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 FRISCO SQUARE BLVD STE 110",
"city": "FRISCO",
"state": "TX",
"postal_code": "750343309",
"telephone_number": "972-238-0512",
"fax_number": "972-378-6925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROB DICKERMAN DO PHD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "DICKERMAN",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "NEUROSURGEON",
"authorized_official_telephone_number": "972-238-0512",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.