DR. WILLIAM CRAWFORD DIXON IV (NPI# 1669534897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669534897 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM CRAWFORD DIXON IV |
| Credential | MD |
| Practice Address |
1300 Medical Dr Tallahassee FL 32308-4646 |
| Practice Telephone | 8502160100 |
| Practice Fax Number | 8502160112 |
| Mailing Telephone | 8502160100 |
| Mailing Fax Number | 8502160112 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
103320 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
103320 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAID GROUP # | 276041000 | 01 |
| FL | MEDICARE GROUP # | Q0110 | 01 |
| FL | NPI GROUP # | 1902854219 | 01 |
| FL | BCBS | 92731 | 01 |
| FL | BCBS GROUP # | 72230 | 01 |
| FL | 000827100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780171421 | William Henry Dixon IIi | Massage Therapist | 1603 Battleground Ave Ste C, Greensboro, NC 27408-8050 | 2018-04-18 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1760791263 | William Frank Dixon Jr. | Registered Nurse | 133 Henderson Springs Rd, Elko, GA 31025-2104 | 2010-09-30 |
| 1518074020 | William G Dixon | Chiropractor | 21 Fruean Way Unit L, South Yarmouth, MA 02664-1690 | 2006-08-23 |
| 1710964416 | William M Dixon IIi | Family Medicine | 600 N Wheeler Ave, Prosperity, SC 29127 | 2005-12-23 |
| 1194334854 | William Dixon | Pharmacist | 32 Village Center Dr, Clayton, NC 27527-9097 | 2020-07-29 |
| 1639731706 | William Dixon | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2019-06-28 |
| 1861889065 | William Wallace Dixon | Emergency Medicine | 300 Pasteur Dr, Alway Building M 121, Stanford, CA 94305-2200 | 2015-04-25 |
| 1386993525 | William Kyle Dixon | Dentist | 3617 W Sunset Ave, Springdale, AR 72762-4955 | 2012-09-04 |
| 1942594569 | William Barnett Dixon Jr. | Pharmacist | 1602 Providence Rd S, Waxhaw, NC 28173-8314 | 2011-05-31 |
| Street Address |
1300 MEDICAL DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344543 | James Galt Allee | Internal Medicine | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2005-05-23 |
| 1417564576 | Shelby E Vidor | Registered Nurse | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2020-09-23 |
| 1073137816 | Terri Beth Ellison | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2020-06-07 |
| 1932745536 | Olitiana Randrianasolo | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2019-11-19 |
| 1306489448 | Angela Pinto | Physician Assistant | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2019-10-22 |
| 1376103697 | Melvita Allen | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2019-06-18 |
| 1356807853 | Daisy Michelle Perry | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308 | 2019-02-20 |
| 1225547599 | Troy Kepper | Physician Assistant | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2017-09-29 |
| 1386166064 | Jennie Crews Strickland | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2017-07-13 |
| 1639691728 | Brittany Tenorio | Nurse Practitioner | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2017-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740270198 | Niraj P Pandit | Internal Medicine | 2770 Capital Medical Blvd, Suite 109, Tallahassee, FL 32308-8417 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on DR. WILLIAM CRAWFORD DIXON IV.
| 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.