BYRON DIXON (NPI# 1386019560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386019560 |
Entity Type | Individual |
Full Name | BYRON DIXON |
Practice Address |
1113 Sandfort Rd Phenix City AL 36867-6651 |
Practice Telephone | 3344084355 |
Mailing Telephone | 4046838776 |
Enumeration Date | 2015-12-14 |
Last Update Date | 2016-04-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | AL | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | IRS | 47-5495087 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
1740363209 | Byron P Dixon | Dentist | 8804-f Pear Tree Court, Alexandria, VA 22309 | 2006-10-20 |
1043664295 | Byron Nicholas Dixon | Counselor | 1219 4th St S, Nampa, ID 83651-4222 | 2016-04-13 |
1952506669 | Byron Duane Dixon | Emergency Medicine | 101 E Wood St, Spartanburg, SC 29303-3040 | 2007-06-21 |
Street Address |
1113 SANDFORT RD |
City | PHENIX CITY |
State | AL |
Zip Code | 36867-6651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730534736 | Devoted Hands Home Care | Home Health | 1113 Sandfort Rd, Phenix City, AL 36867-6651 | 2016-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576986 | Victoria Martinec | Dental Hygienist | 3732 Us Hwy 280, Phenix City, AL 36867 | 2020-04-06 |
1255993390 | Alexa Paige Jones | Family Medicine | 3700 Ste A S Railroad St, Phenix City, AL 36867 | 2019-06-28 |
1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
1134613714 | Sarah Uehara Yee | Dentist | 3732 Hwy 280 Bypass, Phenix City, AL 36867 | 2018-06-18 |
1770074676 | James L Pridgen IIi | Registered Nurse | 1533 Summerplace Dr, Phenix City, AL 36867 | 2018-05-25 |
1598288219 | Rachelle Moliere | Nurse Practitioner | 4402 Riverchase Drive, #4301, Phenix City, AL 36867 | 2017-07-25 |
1417477852 | Devin William Collins | Orthopaedic Surgery | 4401 River Chase Drive, Phenix City, AL 36867 | 2017-06-27 |
1770003774 | Tabatha Yvette Jones | Registered Nurse | 506 Lee Rd 554, Phenix City, AL 36867 | 2017-06-21 |
1134659030 | Jack Clifford Golden Jr. | Pharmacist | 3700 Us Hwy 280/431n, Phenix City, AL 36867 | 2017-06-14 |
1386098440 | Mudassar Khan | Orthopaedic Surgery | 4401 Riverchase Dr, Phenix City, AL 36867 | 2016-04-14 |
Find all providers in zip 36867 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073142071 | Craig Robert Goldhagen | Student in an Organized Health Care Education/Training Program | 5295 Riverchase Dr Apt 306, Phenix City, AL 36867-7507 | 2020-04-02 |
1811527328 | Jennifer Rammage | Student in an Organized Health Care Education/Training Program | 23 Newberry Dr, Phenix City, AL 36870-8524 | 2020-01-23 |
1982234498 | Victoria Pate | Student in an Organized Health Care Education/Training Program | 2806 Gatewood Dr, Phenix City, AL 36870-2321 | 2020-01-23 |
1962032474 | Adrianna Taylor Reagan | Student in an Organized Health Care Education/Training Program | 74 Lee Road 2138, Phenix City, AL 36870-1007 | 2020-01-23 |
1548755150 | David Thompson | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr., Phenix City, AL 36867 | 2018-06-26 |
1639791254 | Jacob Taunton | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-05-18 |
1598385650 | Meera Gill | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-04-19 |
1215564232 | Michael Taylor Ulmer | Student in an Organized Health Care Education/Training Program | 4401 Riverchase Dr, Phenix City, AL 36867-7483 | 2020-03-27 |
1528625712 | Benjamin Catoe | Student in an Organized Health Care Education/Training Program | 4401 River Chase Dr, Phenix City, AL 36867 | 2019-05-22 |
1841855038 | Aaron Joiner | Student in an Organized Health Care Education/Training Program | 4401 River Chase Drive, Phenix City, AL 36867 | 2019-05-03 |
Find all providers in PHENIX CITY |
City | PHENIX CITY |
Zip Code | 36867 |
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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.