JERRY W DIXON (NPI# 1316970148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316970148 |
| Entity Type | Individual |
| Full Name | JERRY W DIXON |
| Credential | M.D. |
| Practice Address |
3 Medical Park Dr 201 Benton AR 72015-3728 |
| Mailing Address |
5 Medical Park Dr Ste 203 Benton AR 72015-3732 |
| Practice Telephone | 5017783361 |
| Mailing Telephone | 5016645860 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | E0173 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 125732001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091371 | Jerry Dixon Jr. | Non-emergency Medical Transport (VAN) | 14337 Highway 12 W, Kosciusko, MS 39090-3689 | 2019-12-26 |
| 1821193129 | Jerry Wayne Dixon | Pharmacist | 174 Perry House Rd, Fitzgerald, GA 31750-8838 | 2006-09-13 |
| Street Address |
3 MEDICAL PARK DR 201 |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774794 | Ophthalmology Associates of Benton, Pllc | Specialist | 3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 | 2005-07-20 |
| 1194027987 | Saline Memorial Hospital Technical Services LLC | Clinic/Center | 3 Medical Park Dr, Suite 301, Benton, AR 72015-3728 | 2010-11-30 |
| 1073765657 | Rose Jean Fetting | Social Worker | 3 Medical Park Dr, Suite 302 B, Benton, AR 72015-3728 | 2008-10-15 |
| 1871627737 | Jerry W. Dixon, M.d., P.a. | Surgery | 3 Medical Park Dr, Suite 201, Benton, AR 72015-3728 | 2007-03-15 |
| 1043340011 | Mark E Albey | Family Medicine | 3 Medical Park Dr, Suite 100, Benton, AR 72015-3728 | 2007-03-07 |
| 1548398498 | Kirk D Watson | Family Medicine | 3 Medical Park Dr, Suite100, Benton, AR 72015-3728 | 2007-03-01 |
| 1437284189 | James B Cooper | Family Medicine | 3 Medical Park Dr, Suite 100, Benton, AR 72015-3728 | 2007-02-22 |
| 1376684258 | Phillip Suffridge,m.d.,p.a. | Ophthalmology | 3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 | 2007-02-12 |
| 1497812903 | Surgical Associates of Benton | Specialist | 3 Medical Park Dr, Benton, AR 72015-3728 | 2007-01-03 |
| 1013098334 | Samuel D Taggart | Family Medicine | 3 Medical Park Dr, Suite 100, Benton, AR 72015-3728 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609092816 | James Myron Stern | Surgery | 551 Us Hwy 68 West, Benton, KY 42025-0551 | 2007-04-17 |
| 1992724645 | Robert Beale | Surgery | 619 Old Symsonia Road, Suite A, Benton, KY 42025-5042 | 2006-07-19 |
| 1558678276 | Saline Physician Services, LLC | Surgery | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2010-09-01 |
| 1851546758 | Goldsboro Surgical Associates, Pa | Surgery | 619 Old Symsonia Road, Suite A, Benton, KY 42025-5042 | 2008-11-20 |
| 1770745523 | Kristin Patton | Surgery | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 | 2008-07-01 |
| 1629257266 | Michael J Schmidt | Surgery | 5 Medical Park Dr, Suite Gl-2, Benton, AR 72015-3729 | 2007-10-31 |
| 1093832651 | James Durham | Surgery | 205 Bailey Ln, Benton, IL 62812-1921 | 2007-03-26 |
| 1871627737 | Jerry W. Dixon, M.d., P.a. | Surgery | 3 Medical Park Dr, Suite 201, Benton, AR 72015-3728 | 2007-03-15 |
| 1831107499 | Benton Medical and Surgical Associates, Psc | Surgery | 619 Old Symsonia Road, Suite A, Benton, KY 42025-5042 | 2006-08-03 |
| 1407883044 | Lewis E Porter | Surgery | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2006-06-27 |
| Find all providers in BENTON | ||||
Please comment or provide details below to improve the information on JERRY W DIXON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.