JONATHAN L DICKSON MD
NPI 1063430619
Internal Medicine - Cardiovascular Disease in Fargo, ND

Q: What is Jonathan Dickson's NPI number?

The NPI number for Jonathan Dickson is 1063430619. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Jonathan Dickson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Dickson was last updated on January 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2006

801 BROADWAY N, FARGO, ND 58102(701) 234-2000(701) 234-3813 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jonathan L Dickson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN L DICKSON MD (NPI 1063430619) is an individual cardiovascular disease provider in Fargo, North Dakota, licensed in North Dakota (4339) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1063430619

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJONATHAN L DICKSONCredential: MD

Location Address801 BROADWAY NFargo, ND 58102-3641

Mailing Address801 Broadway NFargo, ND 58102-3641 · (701) 234-2000 · Fax (701) 234-3813

Phone(701) 234-2000

Fax(701) 234-3813

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateJanuary 18, 2012

✔ NPI 1063430619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in ND · 4339

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

801 BROADWAY N, Fargo, ND 58102

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Other Identifiers 5

Medicare UPIND28576

Medicare PIN110004549MN

Medicaid13282ND

Medicare PINN30ND

Medicaid921898000MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK F FISHER MD

Radiology (Diagnostic Radiology)