TRACY DICKERSON PA
NPI 1356570634
Physician Assistant in Dorchester Center, MA

Active since July 08, 2009
2100 DORCHESTER AVE, DEPT. OF SURGERY, DORCHESTER CENTER, MA 02124(617) 296-4000 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Dickerson Pa NPPES

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

TRACY DICKERSON PA (NPI 1356570634) is an individual physician assistant in Dorchester Center, Massachusetts, licensed in Massachusetts (215) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1356570634
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTRACY DICKERSONCredential: PA
Location Address2100 DORCHESTER AVE, DEPT. OF SURGERYDorchester Center, MA 02124-5615
Mailing Address2100 Dorcester Ave, Dept. Of SurgeryDorcester, MA 02124 · (617) 296-4000
Sole ProprietorNo
Enumeration DateJuly 8, 2009
Last NPPES UpdateApril 13, 2010
NPI 1356570634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · 215
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2100 DORCHESTER AVE, Dorchester Center, MA 02124

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.

Pharmacist
2100 DORCHESTER AVE, SEMC GPU AT CARNEY HOSPITAL
DORCHESTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE, CARITAS CARNEY HOSPITAL, 7 SOUTH
DORCHESTER, MA 02124
Durable Medical Equipment & Medical Supplies
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Long Term Care Hospital
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE
DORCHESTER, MA 02124
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Psychiatry & Neurology (Psychiatry)
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Dickerson's NPI number?

The NPI number for Tracy Dickerson is 1356570634. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Tracy Dickerson located?

Tracy Dickerson practices at 2100 Dorchester Ave Dept. Of Surgery, Dorchester Center, MA 02124. The listed phone number is (617) 296-4000.

What is Tracy Dickerson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tracy Dickerson was last updated on April 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.