Dr. Kevin M. Dickerson , MD
Pediatrics • Columbus, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kevin Dickerson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kevin Dickerson, MD was a registered Pediatrics practicing in Columbus, OH. Throughout an active medical career spanning 19 years, Dr. Dickerson provided care at the practice location at 4885 OLENTANGY RIVER RD until profile deactivation on 2024-11-08.
Practice Location & Contact Primary Location
4885 Olentangy River Rd
Suite 2-10
Columbus, OH 432141926
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Columbus, OH
Practicing in Columbus, OH (3057 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 08, 2024
NPI status registered as active in NPPES database
Registered at 4885 OLENTANGY RIVER RD, SUITE 2-10, COLUMBUS, OH 432141926 (Tel: 6142677878)
Registered at 4885 OLENTANGY RIVER RD, SUITE 2-10, COLUMBUS, OH 432141926 (Tel: 6142677878)
Recorded as KEVIN DICKERSON, M.D.
Pediatrics (License #35-07-5037 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4885 Olentangy River Rd, Suite 2-10
Columbus, OH 432141926
Phone: 6142677878
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