MEDICARE: ALISON DAWSON HIMES D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	34.010685	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PO1292792	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000827424	OTHER	OH	ANTHEM BC/BS

General Provider Information

NPI Number	:	1750589271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON DAWSON HIMES D.O.

Provider Business Mailing Address
First Line	:	2065 STRINGTOWN RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2930
Country	:	US
Telephone Number	:	614-539-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2065 STRINGTOWN RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-2930
Country	:	US
Telephone Number	:	614-539-1800
Fax Number	:	614-539-1815

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	10/11/2016

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