MEDICARE: JOEL L DICKERMAN DO

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	207Q00000X	Family Medicine Physician	29801	CO

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	:	1952378184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL L DICKERMAN DO

Provider Business Mailing Address
First Line	:	PO BOX 490
Second Line	:
City	:	CASCADE
State	:	CO
Zip	:	80809-0490
Country	:	US
Telephone Number	:	719-471-6512
Fax Number	:	719-572-9033

Provider Business Practice Location Address
First Line	:	1705 ARBOR WAY
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905-2128
Country	:	US
Telephone Number	:	719-471-6512
Fax Number	:	719-572-9033

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1154322733 — SUSAN M MCMASTER D O
Practice Location Address:

1705 ARBOR WAY
COLORADO SPRINGS, CO
80905-2128

Practice Phone: 719-471-6512
Practice Fax: 719-572-9033

1891069308 — TRACY STEWART THELEN PT
Practice Location Address:

1713 ARBOR WAY
COLORADO SPRINGS, CO
80905-2128

Practice Phone: 719-332-5868
Practice Fax:

1013773910 — ELIZABETH MUELLER
Practice Location Address:

1723 ARBOR WAY
COLORADO SPRINGS, CO
80905-2128

Practice Phone: 315-212-8498
Practice Fax:

1053739011 — DR. SUNGHU KIM LAC
Practice Location Address:

758 E COLORADO BLVD STE 201
PASADENA, CA
91101-2128

Practice Phone: 626-356-7561
Practice Fax: 626-628-1894

1134548076 — DR. KI HAENG CHO LAC.
Practice Location Address:

758 E COLORADO BLVD STE 201
PASADENA, CA
91101-2128

Practice Phone: 626-356-7561
Practice Fax: 626-628-1894

1134703481 — VERTEX HOSPICE AND PALLIATIVE CARE
Practice Location Address:

758 E COLORADO BLVD STE 202
PASADENA, CA
91101-2128

Practice Phone: 626-248-7161
Practice Fax:

Directions to “ JOEL L DICKERMAN DO” 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 © 2007-2026 (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.