Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1679562250 Deactivated / Inactive NPI Male Practitioner

Dr. Robert M Dickerson , MD

Internal Medicine • Powell, WY

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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. Robert Dickerson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2005
NPI Deactivation Date December 31, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Dickerson, MD was a registered Internal Medicine practicing in Powell, WY. Throughout an active medical career spanning 13 years, Dr. Dickerson provided care at the practice location at 450 MOUNTAIN VIEW ST until profile deactivation on 2018-12-31.

Practice Location & Contact Primary Location

Practice Address

450 Mountain View St

Powell, WY 824352212

Telephone 3077547257
Fax 3077547217
Associated Practice Facility / Clinic
🏢 Powell Valley Healthcare Inc Facility NPI 1699721316

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Powell, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Powell, WY (144 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WY 4455A

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Jana Keeler , PA-C

Physician Assistant

NPI 1003079302

Physician Assistant (Certified)

Dr. Robert Ellis , MD

Obstetrics & Gynecology

NPI 1003805698

Doctor of Medicine (M.D.)

NPI 1063401933

Doctor of Medicine (M.D.)

Dr. Lexie Hill , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1083392690

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

NPI 1104815810

Doctor of Medicine (M.D.)

Dr. Jeffrey Hansen , MD

Orthopaedic Surgery

NPI 1104875335

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 31, 2018

Record deactivated on December 31, 2018

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2007

Registered at 450 MOUNTAIN VIEW ST, POWELL, WY 824352212 (Tel: 3077547257)

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Updated Business Mailing Address October 19, 2007

Registered at 449 MOUNTAIN VIEW ST, POWELL, WY 824352232 (Tel: 3077544559)

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Provider Name / Credentials Updated October 19, 2007

Recorded as ROBERT DICKERSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Internal Medicine (License #4455A in WY)

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Initial NPI Registration & Enumeration October 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679562250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2005
Last Update: October 19, 2007
Deactivation Date: December 31, 2018

Mailing Address

449 Mountain View St

Powell, WY 824352232

Phone: 3077544559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.