RUSSELL DIXON (NPI# 1992093066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992093066 |
| Entity Type | Individual |
| Full Name | RUSSELL DIXON |
| Credential | PA-C |
| Practice Address |
5950 University Ave Ste 105 West Des Moines IA 50266-7756 |
| Mailing Address |
1001 Pennsylvania Ave Ottumwa IA 52501-6427 |
| Practice Telephone | 5158759070 |
| Practice Fax Number | 5158759071 |
| Mailing Telephone | 6416842402 |
| Mailing Fax Number | 6416842401 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
002215 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002215 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Pennsylvania Ave, Ottumwa, IA 52501 | 6416842402 | 6416842401 |
| 5950 University Ave Ste 105, West Des Moines, IA 502667756 | 5158759070 | 5158759071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174156251 | Russell Dean Dixon | Case Manager/Care Coordinator | 515 Dayton St, Hamilton, OH 45011-3455 | 2020-02-18 |
| 1144503962 | Russell Louis Dixon | Clinical Neuropsychologist | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2011-09-28 |
| 1689766388 | Russell Alexander Dixon Jr. | Dentist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-09-29 |
| 1457328189 | Russell M Dixon | Internal Medicine | 451 Junction Rd, Madison, WI 53717 | 2006-03-01 |
| Street Address |
5950 UNIVERSITY AVE STE 105 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-7756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326090366 | Ben G Vance | Physician Assistant | 5950 University Ave Ste 105, West Des Moines, IA 50266 | 2006-05-17 |
| 1336764182 | Stacy Kuiper | Nurse Practitioner | 5950 University Ave Ste 105, West Des Moines, IA 50266-7756 | 2020-06-08 |
| 1548758683 | Angela Lynn Kramer | Nurse Practitioner | 5950 University Ave Ste 105, West Des Moines, IA 50266-7756 | 2018-04-24 |
| 1982070058 | Molly Urness | Physician Assistant | 5950 University Ave Ste 105, West Des Moines, IA 50266-7756 | 2015-08-12 |
| 1063669968 | William B Goble | Family Medicine | 5950 University Ave Ste 105, West Des Moines, IA 50266-7756 | 2008-08-21 |
| 1720199276 | Jennifer Lynn Leonard | Nurse Practitioner | 5950 University Ave Ste 105, West Des Moines, IA 50266 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578040119 | Bryan Foster | Physician Assistant | 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932607009 | Margaret Mary Storbakken | Physician Assistant | 200 Hawkins Dr Ste 1562, Iowa City, IA 52242-1009 | 2018-01-24 |
| 1710406590 | Jordan Lee Reiner | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2017-09-13 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1629140041 | Joel E Rand | Physician Assistant | 411 Laurel St Ste 2100, Des Moines, IA 50314-3026 | 2006-11-14 |
| 1073511572 | Stephen Edward Gunn | Physician Assistant | 200 Hawkins Drive, Se 500 Gh, Iowa City, IA 52242 | 2005-07-08 |
| 1609473842 | Hannah Marissa Lester | Physician Assistant | 12499 University Ave Ste 210, Clive, IA 50325-8288 | 2020-10-01 |
| 1154937001 | Christopher Randall | Physician Assistant | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2020-09-16 |
| 1114580495 | Amanda C Mcdonagh | Physician Assistant | 788 8th Ave Se Ste 300, Cedar Rapids, IA 52401-2106 | 2019-04-22 |
| 1184182305 | Ryan E Anderson | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2019-03-06 |
| 1760952238 | Kyle J Kroymann | Physician Assistant | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-11-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on RUSSELL 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.