Shane Charles Dickerson, MD
Shane Charles Dickerson, MD is an Anesthesiology in Los Angeles, California. Graduated from Columbia University College of Physicians and Surgeons in 2013, 13 years ago. Practices with Rwjbh Observation Associates LLC, a 971-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 13
- Trained at
- Columbia University College of Physicians and Surgeons
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Los Angeles, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 243 W 107th St Apt 4w, New York, NY 10025-3080 — (609) 214-1518
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence A147680 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740522341 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 21, 2013 |
| Last updated in NPPES | July 21, 2022 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduated | 2013 (13 years in practice) |
| Group practice | Rwjbh Observation Associates Llc — 971 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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