Mr. Michael Douglas Dickens
M.D. | Pediatrics | Male
Mr. Michael Douglas Dickens, M.D. is a Charlottesville, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Michael Douglas Dickens is
1011 E Jefferson St, Charlottesville, Virginia - 22902-5354. He can be contacted on phone at
434-296-9161 and fax number 434-296-1036.
Mr. Michael Douglas Dickens is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Michael Douglas Dickens is
1003893942 which was assigned by NPPES on 30 Dec, 2005 and it was last updated on 29 Sep, 2012.
Mr. Michael Douglas Dickens license number is
0101023851 for Pediatrics (208000000X) in Virginia.
Mr. Michael Douglas Dickens is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Michael Douglas Dickens basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mr. Michael Douglas Dickens |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Mr. Michael Douglas Dickens address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1011 E Jefferson St
Charlottesville, VA, 22902-5354
United States |
|---|
| Phone Number : | 434-296-9161 |
|---|
| Fax Number : | 434-296-1036 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003893942 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 30 Dec, 2005 |
|---|
| Last Updated On : | 29 Sep, 2012 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Michael Douglas Dickens are as mentioned. Primary taxonomy code for Mr. Michael Douglas Dickens, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101023851 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Michael Douglas Dickens such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 42720 | Other | VA | VETRI |
| 006725791 | MEDICAID | VA | |
| 12062000003 | Other | VA | SOUTHERN HEALTH |
| 333839 | Other | VA | ANTHEM |
| 010714 | Other | VA | CIGNA |
| 267071 | Other | VA | MAMSI/ALLIANCE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 103 Kerry Ln
Charlottesville, VA, 22901-2924
United States |
|---|
| Phone Number : | 434-973-8493 |
|---|
Business Location:
Patients can refer following map for directions to
Mr. Michael Douglas Dickens practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.