Michael P Dixon (NPI# 1245264399, PAC ID# 7012948961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1245264399 |
| PAC ID by PECOS | 7012948961 |
| Professional Enrollment ID | I20060908000346 |
| Full Name | Michael P Dixon |
| Organization Legal Name | ST LUKE'S CLINIC LLC |
| Address |
738 N College Rd Suite A Twin Falls ID 83301-3386 |
| Phone Number | 2088147000 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1052217478 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| 131312 | ST LUKE'S MCCALL |
| 131310 | ST LUKE'S JEROME |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 980 Burley Ave, Buhl, ID 83316-1849 | 2088148000 | ST LUKE'S CLINIC LLC |
| 709 N Lincoln Ave, Jerome, ID 83338-1851 | 2088149500 | ST LUKE'S CLINIC LLC |
| 2550 Addison Ave E, Twin Falls, ID 83301-6748 | 2088148000 | ST LUKE'S CLINIC LLC |
| 2550 Addison Ave W, Twin Falls, ID 83301-6749 | ST LUKE'S CLINIC LLC | |
| 625 Pole Line Rd W, Twin Falls, ID 83301-4269 | ST LUKE'S CLINIC LLC | |
| 714 N College Rd, Suite B, Twin Falls, ID 83301-5812 | 2088147180 | ST LUKE'S CLINIC LLC |
| 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 | 2088147000 | ST LUKE'S CLINIC LLC |
| 746 N College Rd, Twin Falls, ID 83301-3486 | ST LUKE'S CLINIC LLC | |
| 762 N College Rd, Twin Falls, ID 83301-5392 | 2088141500 | ST LUKE'S CLINIC LLC |
| 775 Pole Line Rd W, Twin Falls, ID 83301-5814 | 2088141500 | ST LUKE'S CLINIC LLC |
| Organization Legal Name | ST LUKE'S CLINIC LLC |
| Physicians | 229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrett A Bentley | Family Medicine | St Luke's Clinic LLC | 2550 Addison Ave W, Suite G, Twin Falls, ID 83301-6749 |
| Abigail Louise Bell | Certified Clinical Nurse Specialist (cns) | St Luke's Clinic LLC | 775 Pole Line Rd W, Suite 115, Twin Falls, ID 83301-5819 |
| Timothy D Crawley | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 746 N College Rd, Twin Falls, ID 83301-3486 |
| Robin M Lopez | Clinical Social Worker | St Luke's Clinic LLC | 2550 Addison Ave E, Twin Falls, ID 83301-6748 |
| Brett J Buican | Psychologist, Clinical | St Luke's Clinic LLC | 1840 Canyon Crest Dr, Twin Falls, ID 83301-3007 |
| Thomas H Zepeda | Emergency Medicine | St Luke's Clinic LLC | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
| John Brandon Cory | Certified Registered Nurse Anesthetist (crna) | St Luke's Clinic LLC | 575 Pole Line Rd W, Twin Falls, ID 83301-9998 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| James S Irwin | Family Medicine | St Luke's Clinic LLC | 132 5th Ave W, Suite 1/2, Jerome, ID 83338-1825 |
| John A Baker | Internal Medicine | St Luke's Clinic LLC | 730 N College Rd, Twin Falls, ID 83301-3382 |
| Street Address |
738 N COLLEGE RD SUITE A |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-3386 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jedediah Hunter May | Orthopedic Surgery | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Mark B Wright | Orthopedic Surgery | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Rohn T Mckee | Orthopedic Surgery | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Daniel C Alder | Diagnostic Radiology | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Jason Chesley | Diagnostic Radiology | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Joshua E Hall | Diagnostic Radiology | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Cameron J Evans | Diagnostic Radiology | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Blake G Johnson | Orthopedic Surgery | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Tyler R Wayment | Plastic and Reconstructive Surgery | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| James M Dunn | Diagnostic Radiology | St Luke's Clinic LLC | 738 N College Rd, Suite A, Twin Falls, ID 83301-3386 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TWIN FALLS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael P Dixon.
| 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.