Tracy Dickerson, PA
Physician Assistant in Dorchester Center, Massachusetts
1356570634- Practice location
- 2100 Dorchester Ave, Dept. Of Surgery, Dorchester Center, MA 02124-5615
- Phone
- 617-296-4000
- Fax
- —
- Last updated
- April 13, 2010
Tracy Dickerson is a Physician Assistant based in Dorchester Center, MA. Tracy Dickerson practices in Dorchester Center, MA and has the professional credentials of PA. The NPI Number for Tracy Dickerson is 1356570634 and holds a License No. 215 (MA). The current practice location address for Tracy Dickerson is 2100 Dorchester Ave, Dept. Of Surgery, Dorchester Center, MA 02124-5615 and can be reached out via phone at 617-296-4000.
Provider Profile Details
- NPI Number
- 1356570634
- Provider Name
- Tracy Dickerson
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2100 Dorchester Ave, Dept. Of Surgery, Dorchester Center, MA 02124-5615
- Phone Number
- 617-296-4000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 8, 2009
- Last Update Date
- April 13, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2100 Dorchester Ave
Dept. Of Surgery
Dorchester Center, MA 02124-5615 - State
- Massachusetts
- Zip
- 02124-5615
- Phone Number
- 617-296-4000
Provider Business Mailing Address Details
- Address
- 2100 Dorcester Ave
Dept. Of Surgery
Dorcester, MA 02124 - City
- Dorcester
- State
- MA
- Zip
- 02124
- Phone Number
- 617-296-4000
License Information
- License Number
- 215
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Dorchester Center, MA
View all Physician Assistants in Dorchester Center →- Julieanne P Goodrich, PAPhysician Assistant · NPI 1831422245
- Ms. Vaishali T Harma, PA-CPhysician Assistant · NPI 1750354577
- Vanria V IyamuPhysician Assistant · NPI 1174645808
- Dr. Morteza M Farizan, MDSurgery · NPI 1053374603
- Dhanya Ramlal-WhytePharmacist · NPI 1891699658
- Siobhan PetersDoula · NPI 1356262471
Frequently Asked Questions
What is the NPI number of Tracy Dickerson, PA?
The NPI number of Tracy Dickerson, PA is 1356570634. It was assigned on July 8, 2009 and is currently active in the NPPES registry.
What is the specialty of Tracy Dickerson, PA?
Tracy Dickerson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 215.
Where does Tracy Dickerson, PA practice?
The practice location is 2100 Dorchester Ave, Dept. Of Surgery, Dorchester Center, MA 02124-5615. The office can be reached at 617-296-4000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356570634 directly on the NPPES registry website.