Timothy K Dixon (NPI# 1225026438, PAC ID# 1658309554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1225026438 |
| PAC ID by PECOS | 1658309554 |
| Professional Enrollment ID | I20050803000323 |
| Full Name | Timothy K Dixon |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Address |
336 29th St Suite 100 Ashland KY 41101-1900 |
| Phone Number | 6063264404 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6103968029 |
| Number of Group Practice Members | 171 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| 360361 | KINGS DAUGHTERS MEDICAL CENTER OHIO |
| Address | Phone | Organization |
|---|---|---|
| 2201 Lexington Ave, Ashland, KY 41101-2843 | 6064084000 | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| 336 29th St, Suite 100, Ashland, KY 41101-1900 | 6063264404 | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghaith M Nahlawi | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653-1889 |
| Justin K Dixon | Urology | Kings Daughters Medical Specialties Inc | 2201 Lexington Ave, Ashland, KY 41101-2843 |
| Kevin M Wolfe | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Hassan R Abul Khoudoud | Family Medicine | Kings Daughters Medical Specialties Inc | 1200 Central Ave, Suite 2, Ashland, KY 41101-7575 |
| John K Miller | General Surgery | Kings Daughters Medical Specialties Inc | 14395 State Route 93, Jackson, OH 45640-9798 |
| Ryann A Pangan | Nephrology | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 130, Ashland, KY 41101-2876 |
| Zane A Darnell | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 912 Park Ave, Ironton, OH 45638-1596 |
| Hullukunte B Shivaprasad | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 8750 Ohio River Rd, Wheelersburg, OH 45694-1918 |
| Susan Aliff | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 140, Ashland, KY 41101-2876 |
| Chad J Tarabolous | Hematology/oncology | Kings Daughters Medical Specialties Inc | 2201 Lexington Ave, Ashland, KY 41101-2843 |
| Street Address |
336 29TH ST SUITE 100 |
| City | ASHLAND |
| State | KY |
| Zip | 41101-1900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Shannon | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Jerrel Boyer | Neurosurgery | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Mayola Boykin | Diagnostic Radiology | Ashland Radiology Associates Psc | 336 29th St, Suite 101, Ashland, KY 41101-1976 |
| Scott E Moore | Diagnostic Radiology | Ashland Radiology Associates Psc | 336 29th St, Suite 101, Ashland, KY 41101-1976 |
| Erik S Fraley | Diagnostic Radiology | Ashland Radiology Associates Psc | 336 29th St, Suite 101, Ashland, KY 41101-1976 |
| Freda Fields | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| William H Boykin Jr. | Urology | Kings Daughters Medical Specialties Inc | 336 29th St, Suite 100, Ashland, KY 41101-1900 |
| Jolinda Dillow | Dermatology | 336 29th St, Suite 201, Ashland, KY 41101-1932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Marshall | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Marcos Estrada Gomez | Rheumatology | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Julie Ann Estep | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Leslie L Calico | Physical Therapy | Ironton Physcial Therapy Inc | 2700 Greenup Ave, Ashland, KY 41101-1953 |
| Dwain P Porter | Chiropractic | 717 Wheatley Rd, Ashland, KY 41101-2347 | |
| Marybeth Little | Clinical Social Worker | Lighthouse Professional Counseling Services Pllc | 700 Wheatley Rd, Ashland, KY 41101-2348 |
| Phillip Maroudis | Optometry | Phillip Maroudis Od Psc and John Morton Ptr | 1201 13th St, Ashland, KY 41101-2607 |
| John W Morton | Optometry | Phillip Maroudis Od Psc and John Morton Ptr | 1201 13th St, Ashland, KY 41101-2607 |
| Justin F Swann | Chiropractic | 613 13th St, Ashland, KY 41101-2617 | |
| Brian Keith Bailey | Podiatry | 500 14th St, Ashland, KY 41101-2622 | |
| Find all physicians in zip 41101 | |||
| City | ASHLAND |
| Zip Code | 41101 |
| Specialty | UROLOGY |
| City + Specialty | ASHLAND + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.