MARK DIXON (NPI# 1912980236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912980236 |
Entity Type | Individual |
Full Name | MARK DIXON |
Credential | D.O. |
Practice Address |
85 E Us Highway 6 Ste 300 Valparaiso IN 46383-8948 |
Practice Telephone | 2199836300 |
Practice Fax Number | 2199836080 |
Mailing Telephone | 2199836300 |
Mailing Fax Number | 2199836080 |
Enumeration Date | 2005-11-21 |
Last Update Date | 2020-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
02001376 | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD IN | 000000497635 | 01 | |
IN | 100327820 | 05 | |
RAILROAD MEDICARE | P00386127 | 01 | |
BLUE SHIELD OF IL | 90000561 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
2000 Roosevelt Rd, Suite 103, Valparaiso, IN 463832800 | 2195319419 | 2194650793 |
2000 Roosevelt Rd Ste 205, Valparaiso, IN 463832802 | 2192637600 | 2192637659 |
3630 Willowcreek Rd Ste 1, Portage, IN 463685075 | 2192637600 | 2192637659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043610397 | Mark Dixon | Community Health Worker | 7022 Trillium Ln, Reynoldsburg, OH 43068-4836 | 2014-08-22 |
1497987747 | Mark Richard Dixon | Behavioral Analyst | 34 Lake Indian Hills Trl, Carbondale, IL 62902-6194 | 2009-08-20 |
1437666864 | Mark Lee Dixon | Peer Specialist | 3322 Broadway, Everett, WA 98201-4425 | 2018-01-08 |
1699987313 | Mark S Dixon | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2007-05-04 |
1679624787 | Mark Andrew Dixon | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2007-01-15 |
1245286400 | Mark Dale Dixon | Emergency Medicine | 1395 S Pinellas Ave, Tarpon Springs, FL 34689-3790 | 2006-05-26 |
1952384463 | Mark Ernest Dixon | Emergency Medicine | 2000 N. Boise Ave., Loveland, CO 80538-7282 | 2005-11-29 |
1457345506 | Mark C Dixon | Anesthesiology | 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660-3847 | 2005-09-06 |
Street Address |
85 E US HIGHWAY 6 STE 300 |
City | VALPARAISO |
State | IN |
Zip Code | 46383-8948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417939885 | Raghuram Dasari | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-18 |
1457619702 | Fahd Abdullah Kader Syed | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2012-04-24 |
1225306830 | Elizabeth Sobczak | Nurse Practitioner | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2011-12-09 |
1518255124 | Anshuman Das | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2011-07-17 |
1134450737 | Jay Shah | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2010-01-21 |
1578721379 | Maya Kommineni | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2008-05-28 |
1538181359 | Hector Juan Marchand Sr. | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-24 |
1326066218 | Sandeep Sehgal | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-18 |
1629096029 | Daniel Paul Linert | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
Find all providers in zip 46383 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417939885 | Raghuram Dasari | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
1013111368 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 1451 N Gardner St # 31, Scottsburg, IN 47170-7751 | 2007-06-12 |
1689883811 | Medical Center Cardiologists, Psc | Internal Medicine | 1451 N Gardner Hwy 31, Scottsburg, IN 47170 | 2007-05-22 |
1518176486 | Medical Center Cardiologists, Psc | Internal Medicine | 213 Hunter Station Rd, Sellersburg, IN 47172-1879 | 2007-05-21 |
1841372869 | Fei Lu | Internal Medicine | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545 | 2006-10-19 |
1497704514 | Cardiospecialists Group, Ltd | Internal Medicine | 2150 Gettler St, Suite 122, Dyer, IN 46311-2380 | 2006-05-08 |
1194700500 | Leonard Alan Steinberg | Internal Medicine | 8333 Naab Rd Ste 320, Indianapolis, IN 46260-1983 | 2005-12-08 |
1053316869 | Umang M Patel | Internal Medicine | 901 Saint Marys Dr, Ste 300, Evansville, IN 47714-0520 | 2005-06-17 |
Find all providers with the same taxonomy |
City | VALPARAISO |
Zip Code | 46383 |
Please comment or provide details below to improve the information on MARK DIXON.
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.