Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Lee Dickinson, MD

Individual provider Surgery Physician · NPI 1396866364

Jacob Lee Dickinson, MD is a General Surgery in Mountain Home, Arkansas. Graduated from University of Arkansas College of Medicine in 2003, 23 years ago. Practices with Ozark Surgical Group, a 9-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
23
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

901 Burnett Dr
Mountain Home, AR 72653-2908
Phone: (870) 425-9120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence E-5452 (AR)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence E-5452 (AR)

Record details

NPI number1396866364
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 27, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCOLORECTAL SURGERY (PROCTOLOGY), SURGICAL ONCOLOGY, VASCULAR SURGERY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Ozark Surgical Group — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mountain Home