BLAKE DIXON (NPI# 1518316702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518316702 |
Entity Type | Individual |
Full Name | BLAKE DIXON |
Credential | M.D. |
Practice Address |
195 Hospital Dr Ste D Cherokee Village AR 72529-7330 |
Practice Telephone | 8702576040 |
Mailing Telephone | 8702576040 |
Enumeration Date | 2016-06-08 |
Last Update Date | 2020-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | TRN23785 | FL | Allopathic & Osteopathic Physicians |
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
E-13204 | AR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033772199 | Blake Dixon | Student in an Organized Health Care Education/Training Program | 303 Langdon St, Somerset, KY 42503-2750 | 2019-04-15 |
Street Address |
195 HOSPITAL DR STE D |
City | CHEROKEE VILLAGE |
State | AR |
Zip Code | 72529-7330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861032963 | David Gregory | Physical Therapy Assistant | Therapy Works, Inc., 31 Choctaw Center, Cherokee Village, AR 72529 | 2020-01-07 |
1578970315 | Jennifer Lindsey Jones | Specialist/Technologist | 1 Hictochee Trace, Cherokee Village, AR 72529 | 2014-07-14 |
1619301512 | Cindy Cox | Case Manager/Care Coordinator | 4 E Village Mall, Cherokee Village, AR 72529 | 2013-08-27 |
1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
1295030815 | Urban Medical Clinic | General Practice | 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 | 2011-01-12 |
1225331333 | Shyronn Dee Crider | Case Manager/Care Coordinator | 4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2010-12-10 |
1588894299 | Samantha Sandridge | Case Manager/Care Coordinator | 4 Cherokee Village Mall, E, Cherokee Village, AR 72529 | 2009-07-16 |
1295977726 | Andrea Michelle Goodwin | Counselor | 4 E. Village Mall, Cherokee Village, AR 72529 | 2009-03-30 |
1245484617 | David Brittingham | Case Manager/Care Coordinator | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-11-11 |
1164687687 | Nicole Skidmore | Case Manager/Care Coordinator | #4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-07-24 |
Find all providers in zip 72529 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962841155 | Bhavesh Joshi | Family Medicine | 2405 Aggie Road, Jonesboro, AR 72401 | 2013-06-20 |
1952745655 | Kathryn Lee Nance | Family Medicine | 625 United Dr Ste 350, Conway, AR 72032-7826 | 2013-04-24 |
1508877903 | Bowen Hefley Rhodes Stewart Orthopedics, Pa | Family Medicine | 5 Saint Vincent Cir Ste 100, Little Rock, AR 72205 | 2006-08-10 |
1578045803 | Bluetail Arkansas Pllc | Family Medicine | 9101 Kanis Rd Ste 200, Little Rock, AR 72205-6455 | 2018-09-04 |
1144623679 | Southern Arkansas University | Family Medicine | 100 E University, Magnolia, AR 71753-2181 | 2014-09-29 |
1508283995 | Larry Balle II | Family Medicine | 3900 N Parkview Dr, Fayetteville, AR 72703-6398 | 2014-03-24 |
1588961338 | Darrin Ashbrooks Md Pa | Family Medicine | 1306 W Collin Raye Dr, De Queen, AR 71832-2502 | 2011-02-14 |
1699070649 | Mercy Clinic Fort Smith Communities | Family Medicine | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2011-01-24 |
1790817427 | Victor Gonzalo Vargas | Family Medicine | 800 Fair Park Blvd, Little Rock, AR 72204 | 2007-03-09 |
1144298845 | Thomas E Cheyne | Family Medicine | 3501 We Knight Dr, Fort Smith, AR 72903-6248 | 2006-03-09 |
Find all providers with the same taxonomy |
City | CHEROKEE VILLAGE |
Zip Code | 72529 |
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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.