DR. EDWARD DYCKMAN MD
NPI 1154336717
Internal Medicine - Cardiovascular Disease in Canton, GA

NPI Status: Active since July 30, 2006

Contact Information

15 REINHARDT COLLEGE PKWY
SUITE 110
CANTON, GA
ZIP 30114
Phone: (770) 723-2383
Fax: (770) 479-8871

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  • Individual
  • Male
  • Internal Medicine
  • Cardiovascular Disease
  • Medicare Quality Reporting

About EDWARD DYCKMAN

This page provides the complete NPI Profile along with additional information for Edward Dyckman, an internist established in Canton, Georgia with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1154336717 assigned on July 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 12248 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1154336717
Provider Name
DR. EDWARD DYCKMAN MD
Gender
Male
Entity Type
Individual
Location Address
15 REINHARDT COLLEGE PKWY SUITE 110 CANTON, GA 30114
Location Phone
(770) 723-2383
Location Fax
(770) 479-8871
Mailing Address
15 REINHARDT COLLEGE PKWY SUITE 110 CANTON, GA 30114
Mailing Phone
(770) 723-2383
Mailing Fax
(770) 479-8871
Is Sole Proprietor?
No
Enumeration Date
07-30-2006
Last Update Date
12-14-2015
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An internist like Edward Dyckman is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
12248
License State
GA
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 15% 202
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Colorectal Cancer Screening 44% 106
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 4% 24
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Pneumococcal Vaccination Status for Older Adults 38% 202
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 52% 211
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 2% 199
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
Screening for Osteoporosis for Women Aged 65-85 Years of Age 24% 79
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154336717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104631272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 3 + 1 + 2 + 7 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1154336717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689635161 KHIZER KHURSHID AHMAD MD
Individual
Pediatrics15 REINHARDT COLLEGE PKWY BLDG 100 SUITE 100
CANTON, GA 30114
(770) 479-1985
1992833941NORTHWEST GEORGIA ONCOLOGY CENTERS, PC
Organization
Durable Medical Equipment & Medical Supplies15 REINHARDT COLLEGE PKWY SUITE 110
CANTON, GA 30114
(770) 720-7789
1962467860 SHELDON SCOTT
Individual
Physical Therapist15 REINHARDT COLLEGE PKWY SUITE 102
CANTON, GA 30114
(678) 505-4450
1154329928DR. KIRK B LAMAN DO
Individual
Internal Medicine (Cardiovascular Disease)15 REINHARDT COLLEGE PKWY SUITE 110
CANTON, GA 30114
(770) 720-2383
1285669739 ANITRA SIMONE GRAVES M.D.
Individual
Internal Medicine (Pulmonary Disease)15 REINHARDT COLLEGE PKWY SUITE 108
CANTON, GA 30114
(678) 493-2527
1710159488DR. MADIHA IQBAL KHAN M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)15 REINHARDT COLLEGE PKWY SUITE 109
CANTON, GA 30114
(770) 213-2520
1659320224CHEROKEE LUNG & SLEEP SPECIALISTS, P.C.
Organization
Internal Medicine (Pulmonary Disease)15 REINHARDT COLLEGE PKWY SUITE 108
CANTON, GA 30114
(678) 493-2527

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154336717, enumerated in the NPI registry as an "individual" on July 30, 2006

The provider is located at 15 Reinhardt College Pkwy Suite 110 Canton, Ga 30114 and the phone number is (770) 723-2383

The provider's speciality is Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

This NPI record was last updated on July 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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