1073512059

Everything you always wanted to know about DR. DICKERSON M MICHAEL M.D. but were afraid to ask.

DR. DICKERSON M MICHAEL M.D.

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. DICKERSON M MICHAEL M.D.
Gender:
Male
Enumeration date:
2005-07-20
Last update date:
2010-07-20
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
D0709 Other MEDCOST # NC
127TY Other BCBS OF NC GROUP #015CK NC
89127TY Medicaid none NC

Taxonomies

Taxonomy State License Number Primary?
207P00000X Emergency Medicine NC 200001115 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3044242228
Practice Location Address Telephone Number 3044242228
Mailing Address Fax Number 3044207128
Practice Location Address Fax Number 3044207128

Addresses

Type Address City State Postal Country
Mailing Address 1602 GREENMONT HILLS DR HEALING CENTER AT CCMH VIENNA WV 26105 WV
Practice Location Address 800 GARFIELD AVE PARKERSBURG WV 0 WV

Other NPI Records that share an address

NPI Name Address State City
1912148164 MICHAEL M. DICKERSON, MD
Organization
1602 GREENMONT HILLS DR WV VIENNA
1003136367 VARGHESE, JUSTIN
Individual
800 GARFIELD AVE WV PARKERSBURG
1033157631 PASTERNAK, EDMOND
Individual
800 GARFIELD AVE WV PARKERSBURG
1033406715 KNOPF, ROSELYNE
Individual
800 GARFIELD AVE WV PARKERSBURG
1033417183 RANDOLPH, SARAH
Individual
800 GARFIELD AVE WV PARKERSBURG
1053309823 COX, JUDY
Individual
800 GARFIELD AVE WV PARKERSBURG
1073500914 PETTIT, JULIE
Individual
800 GARFIELD AVE WV PARKERSBURG
1073591657 WITKOFF, MAURY
Individual
800 GARFIELD AVE WV PARKERSBURG
1073808945 HOGAN, ROBERT
Individual
800 GARFIELD AVE WV PARKERSBURG
1083025860 ISMAIL, YASER
Individual
800 GARFIELD AVE WV PARKERSBURG
1083033310 ANGUH, TERENCE
Individual
3001 S HANOVER ST MD BALTIMORE
1083601892 SULLIVAN, KRISTINA
Individual
800 GARFIELD AVE WV PARKERSBURG
1093095127 LUPTON, DREW
Individual
800 GARFIELD AVE WV PARKERSBURG
1104063098 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1104813021 MCCUTCHEON, DEANA
Individual
800 GARFIELD AVE WV PARKERSBURG
1104864586 CAYTON, WAYNE
Individual
800 GARFIELD AVE WV PARKERSBURG
1124384466 CHILDERS, NOAH
Individual
800 GARFIELD AVE WV PARKERSBURG
1144217340 EDDY, SHANNON
Individual
800 GARFIELD AVE WV PARKERSBURG
1144424698 VORE, SHANA
Individual
800 GARFIELD AVE WV PARKERSBURG
1154317931 CANSINO, OPHELIA
Individual
800 GARFIELD AVE WV PARKERSBURG
1154318962 WOODYARD, DANIEL
Individual
800 GARFIELD AVE WV PARKERSBURG
1164720785 RETZINGER, ANDREW
Individual
800 GARFIELD AVE WV PARKERSBURG
1184058182 HARTLEY, AMANDA
Individual
200 E CHESTNUT ST KY LOUISVILLE
1184058653 MATHUR, SMITA
Individual
55 MEADOWLANDS PKWY NJ SECAUCUS
1194004598 DILLON, ERIN
Individual
800 GARFIELD AVE WV PARKERSBURG
1194077768 THOMAS, TABITHA
Individual
800 GARFIELD AVE WV PARKERSBURG
1194894931 GHIZ, NATALIE
Individual
800 GARFIELD AVE WV PARKERSBURG
1205926722 PHILLIPS, TERESA
Individual
800 GARFIELD AVE WV PARKERSBURG
1235339870 MOORE, JUSTIN
Individual
800 GARFIELD AVE WV PARKERSBURG
1245284421 BESTPRACTICES OF WEST VIRGINIA
Organization
800 GARFIELD AVE WV PARKERSBURG
1245429869 BROPHY, CHARLES
Individual
800 GARFIELD AVE WV PARKERSBURG
1245539063 POWELL, JAY
Individual
800 GARFIELD AVE WV PARKERSBURG
1255630695 PISTELLI, BRITTANY
Individual
800 GARFIELD AVE WV PARKERSBURG
1265428080 CARDENAS, IGNACIO
Individual
800 GARFIELD AVE WV PARKERSBURG
1265661326 HAILE, ROBEL
Individual
701 N 1ST ST IL SPRINGFIELD
1265813190 HOFFMAN, NICHOLAS
Individual
800 GARFIELD AVE WV PARKERSBURG
1295042414 HOSPITALIST MANAGEMENT GROUP
Organization
800 GARFIELD AVE WV PARKERSBURG
1295104610 GOVER, THEODORE
Individual
800 GARFIELD AVE WV PARKERSBURG
1295935096 KELIL, ABIY
Individual
800 GARFIELD AVE WV PARKERSBURG
1316294614 DHP OF WEST VIRGINIA INC
Organization
800 GARFIELD AVE WV PARKERSBURG
1316375785 GEORGE, MICHELE
Individual
800 GARFIELD AVE WV PARKERSBURG
1326109323 MARKS, MICHAEL
Individual
800 GARFIELD AVE WV PARKERSBURG
1326120833 EISENBERG, BRADLEY
Individual
800 GARFIELD AVE WV PARKERSBURG
1326547290 IROBI, ULOAKU
Individual
800 GARFIELD AVE WV PARKERSBURG
1336183870 JAMESON, KAREN
Individual
800 GARFIELD AVE WV PARKERSBURG
1346236189 ESTRADA, RUBEN
Individual
800 GARFIELD AVE WV PARKERSBURG
1346237153 WHITAKER, BARBARA
Individual
800 GARFIELD AVE WV PARKERSBURG
1376547042 IRWIN, KIMBERLY
Individual
800 GARFIELD AVE WV PARKERSBURG
1376554477 NEUMAN, JONATHAN
Individual
800 GARFIELD AVE WV PARKERSBURG
1376586396 RICHARDSON, BRIAN
Individual
800 GARFIELD AVE WV PARKERSBURG
1376985630 SHAH, NIKET
Individual
800 GARFIELD AVE WV PARKERSBURG
1386653848 INPATIENT MEDICAL SPECIALISTS,
Organization
800 GARFIELD AVE WV PARKERSBURG
1396026134 CAMDEN CLARK HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1396154381 RYSAVY, BRANDON
Individual
800 GARFIELD AVE WV PARKERSBURG
1407097140 DUESTERHOEFT, D'ANN
Individual
800 GARFIELD AVE WV PARKERSBURG
1407274533 BARBER, MEGAN
Individual
800 GARFIELD AVE WV PARKERSBURG
1427226695 WAGNER, DEAN
Individual
800 GARFIELD AVE WV PARKERSBURG
1427502913 ALEXANDER, LAUREN
Individual
2838 PIKE ST STE 1 WV PARKERSBURG
1437146248 THORNE, NANCY
Individual
800 GARFIELD AVE WV PARKERSBURG
1437199361 JENSEN, KIRK
Individual
800 GARFIELD AVE WV PARKERSBURG
1457358723 MILLER, KENNETH
Individual
800 GARFIELD AVE WV PARKERSBURG
1457799918 BEGOLE, MARY
Individual
800 GARFIELD AVE WV PARKERSBURG
1477559912 MONCMAN, JEFFREY
Individual
800 GARFIELD AVE WV PARKERSBURG
1477968394 PUNNOOSE, JYOTHY
Individual
800 GARFIELD AVE WV PARKERSBURG
1497751937 CHAMBERS, CRAIG
Individual
800 GARFIELD AVE WV PARKERSBURG
1508160268 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
1824 MURDOCH AVE WV PARKERSBURG
1518901990 WAGNER, PAUL
Individual
3200 MACCORKLE AVENUE SE WV CHARLESTON
1518990340 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1528440070 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1538160429 SHANK, TERRY
Individual
800 GARFIELD AVE WV PARKERSBURG
1538548706 ABU SUKHEILA, RAMY
Individual
1001 S GEORGE ST PA YORK
1548257736 CAPPADONA, ELAINE
Individual
800 GARFIELD AVE WV PARKERSBURG
1548510191 HIGHLAND, WHITNIE
Individual
800 GARFIELD AVE WV PARKERSBURG
1548627888 FOUNDATIONS SERVICES LLC
Organization
800 GARFIELD AVE WV PARKERSBURG
1568402949 HOSPITALIST MEDICINE PHYSICIAN
Organization
800 GARFIELD AVE WV PARKERSBURG
1578509311 SUMMERFIELD, MICHAEL
Individual
800 GARFIELD AVE WV PARKERSBURG
1578900858 TOLBERT, ASHLEY
Individual
800 GARFIELD AVE WV PARKERSBURG
1588181796 CULVER, MELISSA
Individual
800 GARFIELD AVE WV PARKERSBURG
1609133834 ALAM, FARAZ
Individual
1 MEDICAL CENTER DRIVE WV MORGANTOWN
1609821438 OCONNOR, JAMES
Individual
800 GARFIELD AVE WV PARKERSBURG
1629065552 OLDAKER, DEBORAH
Individual
800 GARFIELD AVE WV PARKERSBURG
1639485915 BEESON, ERIC
Individual
800 GARFIELD AVE WV PARKERSBURG
1669478111 PARKERSBURG RADIOLOGY SERVICES
Organization
800 GARFIELD AVE WV PARKERSBURG
1669654034 24 ON PHYSICIANS PC
Organization
800 GARFIELD AVE WV PARKERSBURG
1679854806 ANGELILLI, JENNIFER
Individual
800 GARFIELD AVE WV PARKERSBURG
1699704254 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1699714550 VAN FOSSEN, ROGER
Individual
800 GARFIELD AVE WV PARKERSBURG
1700330586 ALDEN, MARGARET
Individual
800 GARFIELD AVE WV PARKERSBURG
1730339599 BUSH, BRYAN
Individual
800 GARFIELD AVE WV PARKERSBURG
1740449214 STRAIGHT, LISA
Individual
800 GARFIELD AVE WV PARKERSBURG
1740661180 NODINE, RACHEL
Individual
800 GARFIELD AVE WV PARKERSBURG
1760428916 LAMBERT, MATT
Individual
800 GARFIELD AVE WV PARKERSBURG
1760551576 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1770570590 DUGAN, NANCY
Individual
800 GARFIELD AVE WV PARKERSBURG
1770589228 GARRETT, BERNARD
Individual
800 GARFIELD AVE WV PARKERSBURG
1780671206 STASTNY, DAVID
Individual
800 GARFIELD AVE WV PARKERSBURG
1790191831 DOTHAGER, MATTHEW
Individual
800 GARFIELD AVE WV PARKERSBURG
1801057807 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1811396344 RILEY, LAURA
Individual
800 GARFIELD AVE WV PARKERSBURG
1811984354 PANTELIDIS, ANASTASIOS
Individual
800 GARFIELD AVE WV PARKERSBURG
1821018177 CAMDEN CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG
1821031790 STOUT, ROBERT
Individual
800 GARFIELD AVE WV PARKERSBURG
1821037896 CREEL, GREGORY
Individual
800 GARFIELD AVE WV PARKERSBURG
1821387929 AUXIER, JENNIFER
Individual
800 GARFIELD AVE WV PARKERSBURG
1851811418 STEWART, BRANDON
Individual
800 GARFIELD AVE WV PARKERSBURG
1861532657 VANSCOIK, ANDREA
Individual
800 GARFIELD AVE WV PARKERSBURG
1871007187 MCCUNE, RYAN
Individual
800 GARFIELD AVE WV PARKERSBURG
1871531715 KITCHEN, ANTHONY
Individual
800 GARFIELD AVE WV PARKERSBURG
1871926246 CIHLAR, JOSEPH
Individual
800 GARFIELD AVE WV PARKERSBURG
1881977452 ZUMBRO, SARAH
Individual
800 GARFIELD AVE WV PARKERSBURG
1902894447 MENDOZA, MICHAEL
Individual
800 GARFIELD AVE WV PARKERSBURG
1912993056 ABALOS, JOSE
Individual
800 GARFIELD AVE WV PARKERSBURG
1912994906 JOHNSON, MELISSA
Individual
800 GARFIELD AVE WV PARKERSBURG
1922527449 WILLIAMS, MORIAH
Individual
800 GARFIELD AVE WV PARKERSBURG
1932105202 HENSLEY, W.
Individual
800 GARFIELD AVE WV PARKERSBURG
1942308887 BRIGGS, CONSTANCE
Individual
800 GARFIELD AVE WV PARKERSBURG
1962440396 KOMMEL, DANIEL
Individual
800 GARFIELD AVE WV PARKERSBURG
1962499889 LANTZ, PAMELA
Individual
800 GARFIELD AVE WV PARKERSBURG
1972643484 HOOVER, CYNTHIA
Individual
800 GARFIELD AVE WV PARKERSBURG
1982129979 CAMDEN-CLARK MEMORIAL HOSPITAL
Organization
800 GARFIELD AVE WV PARKERSBURG