Individual provider Active NPI

William Harold Dickhoner, M.D.

  • Surgery Physician
  • Hamilton, OH
National Provider Identifier
1992793947
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-05-1982-D Issued in OH
Practice address
1010 Cereal Ave
Hamilton, OH 45013-2784
Phone
(513) 867-3166
Fax
(513) 867-2056
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35-05-1982-D OH
Surgery Physician 208600000X 35-05-1982-D OH Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 35.051982 OH

Addresses

Primary practice location

1010 Cereal Ave
Hamilton, OH 45013-2784

Mailing address

5220 Belfort Rd Ste 130
Jacksonville, FL 32256-6017
Phone (904) 446-3451

Other practice location 1

7117 Dutchland Pkwy
Liberty Township, OH 45044-9096
Phone (513) 896-9700

Other practice location 2

200 Medical Center Dr Fl 1
Middletown, OH 45005-5200
Phone (513) 420-5700

Other identifiers 1

IdentifierTypeStateIssuer
0603341MedicaidOH

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992793947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD STE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "904-446-3451",
            "fax_number": "904-446-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CEREAL AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450132784",
            "telephone_number": "513-867-3166",
            "fax_number": "513-867-2056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7117 Dutchland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Liberty Township",
            "state": "OH",
            "postal_code": "450449096",
            "country_code": "US",
            "telephone_number": "513-896-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Center Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055200",
            "country_code": "US",
            "telephone_number": "513-420-5700",
            "fax_number": "513-420-5707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKHONER",
        "first_name": "WILLIAM",
        "middle_name": "HAROLD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35-05-1982-D",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-05-1982-D",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "OH",
            "license": "35.051982",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.