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

Mr. Jeremy Christian Dickinson, PA

Individual provider Physician Assistant · NPI 1073295564

Mr. Jeremy Christian Dickinson, PA is a Physician Assistant in Baldwinsville, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8351 Azimuth Dr
Baldwinsville, NY 13027-6206
Phone: (315) 415-9613
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1073295564
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

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