DR. RODERICK V. DIZON (NPI# 1689785495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689785495 |
| Entity Type | Individual |
| Full Name | DR. RODERICK V. DIZON |
| Credential | M.D. |
| Practice Address |
1301 Pleasant Valley Rd Suite 500c Owensboro KY 42303-9774 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2704177830 |
| Practice Fax Number | 2704177839 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD60705551 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
TP433 | KY | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A96585 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A965850 | 05 |
| Street Address |
1301 PLEASANT VALLEY RD SUITE 500C |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477550663 | David P Russell | Urology | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2005-07-01 |
| 1588280713 | Mary Teresa Jenkins | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2020-06-23 |
| 1831710094 | Sarah Knop | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2020-04-29 |
| 1972072460 | Alyssa Hope Johnson | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2018-11-14 |
| 1043754815 | Brittany A. Davidson | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 401, Owensboro, KY 42303-9774 | 2016-12-13 |
| 1205286556 | Lauren Mahoney | Physician Assistant | 1301 Pleasant Valley Rd, Suite 500b, Owensboro, KY 42303-9774 | 2016-06-17 |
| 1477923084 | Williard Mazhawidza | Physician Assistant | 1301 Pleasant Valley Rd, Suite 201, Owensboro, KY 42303-9774 | 2015-09-25 |
| 1477938280 | Kerri Booker | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 500d, Owensboro, KY 42303-9774 | 2015-07-22 |
| 1538541198 | Maghan Fares | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2015-06-19 |
| 1386024750 | Benjamin T. Rhodes | Physician Assistant | 1301 Pleasant Valley Rd, Ste 202, Owensboro, KY 42303-9774 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013057017 | Anna O Ehret | Psychiatry & Neurology | 1000 Breckenridge St Ste 301, Owensboro, KY 42303-0877 | 2007-02-07 |
| 1477655827 | Randy J Cox | Psychiatry & Neurology | 2315 Mayfair Drive, Suite 9, Owensboro, KY 42301 | 2006-09-05 |
| 1871526087 | Donna L Lorenzo-bueltel | Psychiatry & Neurology | 1301 Pleasant Valley Rd Ste 500c, Owensboro, KY 42303-9774 | 2006-07-09 |
| 1568442390 | Barry L Menna | Psychiatry & Neurology | Owensboro Health Medical Group - Neurology, 1301 Pleasant Valley Road, Suite 500, Owensboro, KY 42303 | 2006-01-18 |
| 1417290057 | Muhammad F. Bilal | Psychiatry & Neurology | 1301 Pleasant Valley Rd Ste 500c, Owensboro, KY 42303 | 2013-04-02 |
| 1508043274 | Jeanie L Mccormack | Psychiatry & Neurology | 1301 Pleasant Valley Rd, Suite 500c, Owensboro, KY 42303-9774 | 2008-01-24 |
| 1710179155 | Randy J Cox,mdpsc | Psychiatry & Neurology | 2315 Mayfair Dr, Owensboro, KY 42301-4557 | 2007-08-09 |
| 1417039850 | Henry Joseph Comiter | Psychiatry & Neurology | 1301 Pleasant Valley Rd, Suite 500c, Owensboro, KY 42303-9774 | 2006-10-19 |
| 1801908025 | Clare A Braun Hashemi | Psychiatry & Neurology | 1301 Pleasant Valley Rd, Suite 500c, Owensboro, KY 42303-9774 | 2006-09-01 |
| 1811922628 | George Woodward | Psychiatry & Neurology | 1200 Breckenridge St, Owensboro, KY 42303-1089 | 2006-07-11 |
| Find all providers in OWENSBORO | ||||
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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.