Active NPI
Anne E Dickison, MD
- Anesthesiology Physician
- Hollywood, FL
National Provider Identifier
1972569267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME76789
- Practice address
- Memorial Regional Hospital
3501 Johnson Street
Hollywood, FL 33021 - Phone
- (954) 987-5665
- Fax
- (954) 962-6974
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME76789 | FL | Primary |
Addresses
Primary practice location
Memorial Regional Hospital
3501 Johnson Street
Hollywood, FL 33021
Mailing address
511 S.E. Fifth Avenue
Apt. #805
Fort Lauderdale, FL 33301
Phone (953) 525-3232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME76789 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Pittsburgh, PA
- NPI 1386639847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972569267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 S.E. FIFTH AVENUE",
"address_2": "APT. #805",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33301",
"telephone_number": "953-525-3232",
"fax_number": "954-525-3454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEMORIAL REGIONAL HOSPITAL",
"address_2": "3501 JOHNSON STREET",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "954-987-5665",
"fax_number": "954-962-6974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKISON",
"first_name": "ANNE",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME76789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.