DIXON PRIMARY CARE (NPI# 1710942867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710942867 |
| Entity Type | Organization |
| Organization Name | DIXON PRIMARY CARE |
| Practice Address |
720 Market St Wilmington NC 28401-4647 |
| Practice Telephone | 9107629995 |
| Practice Fax Number | 9107622134 |
| Mailing Telephone | 9107629995 |
| Mailing Fax Number | 9107622134 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | MR. DOUGLAS MICHAEL DIXON (OWNER) |
| Authorized Official Telephone | 9107629995 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST PREFERRED | C2480 | 01 |
| NC | CIGNA HEALTHCARE | 7405736001 | 01 |
| NC | BLUE CROSS BLUE SHIELD | 129UT | 01 |
| NC | UNITED HEALTHCARE | 0400522 | 01 |
| Street Address |
720 MARKET ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609047265 | Douglas Michael Dixon | Internal Medicine | 720 Market St, Wilmington, NC 28401-4647 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316697 | Ourhealth Physicians Group of Ohio, LLC | Clinic/Center | 1175 Airport Rd, Wilmington, OH 45177-8904 | 2019-09-20 |
| 1144531153 | Lawrence M. Linett,m.d.,pllc | Clinic/Center | 5311 S College Rd, Wilmington, NC 28412-2211 | 2010-06-24 |
| 1609009513 | Global Medical Clinic | Clinic/Center | 1110 W Anaheim St Ste 6, Wilmington, CA 90744-4131 | 2009-08-25 |
| 1508071606 | Tlc Management (delaware Valley), LLC | Clinic/Center | 2700 Centerville Rd, Ste. 200, Wilmington, DE 19808-1608 | 2007-05-11 |
| 1962589937 | National Women's Health Organization of Delaware, Inc. | Clinic/Center | 312 Mitch Rd, Wilmington, DE 19804-3994 | 2006-11-01 |
| 1093785719 | Downtown Clinic, P.a. | Clinic/Center | 119 Chestnut St, Wilmington, NC 28401-3940 | 2006-01-25 |
| 1083232474 | Nutrition Hive | Clinic/Center | 811 Augusta Rd, Wilmington, DE 19807-2805 | 2020-07-11 |
| 1558872994 | Delaware Neurodiagnostics, LLC | Clinic/Center | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2017-10-12 |
| 1295272730 | Greenbrook Tms Wilmington LLC | Clinic/Center | 410 Foulk Rd, Suite 105, Wilmington, DE 19803-3820 | 2017-01-23 |
| 1023487535 | Rediclinic of De, LLC | Clinic/Center | 1718 Marsh Rd, Wilmington, DE 19810-4606 | 2015-09-15 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on DIXON PRIMARY CARE.
| 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.