Jason B Dickerson DPM Lc
NPI 1164925467ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Murray, UT
Podiatrist, Foot & Ankle Surgery in Murray, Utah, registered in NPPES in March 2018. The authorized official on file is Whitney Lofthouse, Credentialing Specialist. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1164925467 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2018 |
| Last updated in NPPES | Dec 18, 2024 |
| Certified by provider | Dec 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | 4830364-0501 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (UT); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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