MEDICARE: TAMARA D DICKERSON MD

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	208000000X	Pediatrics Physician	01049288	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952345357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA D DICKERSON MD

Provider Business Mailing Address
First Line	:	8535 N CLEARVIEW DR STE 700
Second Line	:
City	:	MCCORDSVILLE
State	:	IN
Zip	:	46055-6243
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8535 N CLEARVIEW DR STE 700
Second Line	:
City	:	MCCORDSVILLE
State	:	IN
Zip	:	46055-6243
Country	:	US
Telephone Number	:	317-415-6450
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	06/17/2022

Similar Medicare Providers

1598722787 — BRIAN GILBERT AGUILAR MD
Practice Location Address:

8535 N CLEARVIEW DR STE 700
MCCORDSVILLE, IN
46055-6243

Practice Phone: 317-415-6450
Practice Fax:

1780757500 — JANICE S LUMNITZ MD
Practice Location Address:

8535 N CLEARVIEW DR STE 700
MCCORDSVILLE, IN
46055-6243

Practice Phone: 317-415-6450
Practice Fax:

1245761741 — GABRIELLE BUTTS DO
Practice Location Address:

8535 N CLEARVIEW DR STE 700
MCCORDSVILLE, IN
46055-6243

Practice Phone: 317-415-6450
Practice Fax:

1922092931 — DR. GARY STANLEY STOUDER
Practice Location Address:

8535 NORTH CLEARVIEW DRIVE , SUITE 200
MCCORDSVILLE, IN
46055-6055

Practice Phone: 317-335-6960
Practice Fax: 317-335-5031

1437137650 — MRS. JOANN SCHAFER NP
Practice Location Address:

5189 WEST 600 N
MCCORDSVILLE, IN
46055

Practice Phone: 317-355-5189
Practice Fax: 317-324-4047

1558316463 — GREEN HOUSE AND ASSOCIATES INC
Practice Location Address:

6246 W BROADWAY # 200
MCCORDSVILLE, IN
46055

Practice Phone: 317-253-7387
Practice Fax: 317-253-7388

Directions to “ TAMARA D DICKERSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.