Provider Demographics
NPI:1457321242
Name:DICKEY, JAMES W III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:DICKEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 4363
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-4363
Mailing Address - Country:US
Mailing Address - Phone:831-757-2058
Mailing Address - Fax:831-757-0232
Practice Address - Street 1:236 SAN JOSE ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3901
Practice Address - Country:US
Practice Address - Phone:831-424-7389
Practice Address - Fax:831-424-3027
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2018-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG37842208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE93112Medicare UPIN