STEPHEN L. DICKSON, JR. MD – NPI #1720086242
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Health Care Provider Taxonomy Code for Thoracic Surgery (Cardiothoracic Vascular Surgery)

STEPHEN DICKSON, JR. is a thoracic surgeon located in TOPEKA, KS. NPPES has assigned the NPI number 1720086242 to STEPHEN DICKSON, JR. on July 08, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was last updated on Oct 09, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHEN DICKSON, JR. below.

NPI Profile for
STEPHEN L. DICKSON, JR.

NPI Number
1720086242
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
STEPHEN L. DICKSON, JR.
Credentials
MD
Primary location
600 SW COLLEGE AVE
TOPEKA, KS 66606-1684
Phone: (785) 233-9643 Fax:
2 Other location(s):
3 Audubon Plaza Dr Ste 1319
Louisville, KY 40217-1319
Phone: (502) 636-8004
Fax: (502) 636-8384
2500 Niles Rd Ste 6
Saint Joseph, MI 49085-3268
Phone: (269) 408-1660
Fax: (269) 408-1665
Mailing address
1234 NAPIER AVE
SAINT JOSEPH, MI 49085-2112
Phone: (269) 983-8172 Fax: (699) 854-5352
Sole Proprietor
No
Updated
Certification Date
Oct 09, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for STEPHEN DICKSON, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherANTHEM- CTSKY000000701004
otherCIGNA- CTSKY4001605
otherHUMANA- CTSKY000057094V
otherPASSPORT- CTSKY50031859
medicaidIN200455130A
medicaidIN200455130
medicaidKY64076821
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)		 KY 43991

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MIAMI MEDICAL COLLEGE - Graduated 1994
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
STEPHEN DICKSON, JR. is affiliated with the following medical group(s):
  • HOSPITAL
    • LAKELAND HOSPITAL WATERVLIET
      400 MEDICAL PARK DR
      WATERVLIET, MI 49098
    • LAKELAND HOSPITAL, ST JOSEPH
      1234 NAPIER AVENUE
      ST JOSEPH, MI 49085
  • HOME HEALTH AGENCY
    • LAKELAND HOSPITAL ST JOSEPH
      2550 MEADOWBROOK ROAD, SUITE 110
      BENTON HARBOR, MI 49022

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