DR. ETOSHA D DIXON


Address: 4538 Edmondson Ave, Baltimore, MD 21229-1506
Phone: 4103282273

DR. ETOSHA D DIXON (NPI# 1063473551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063473551
Entity Type Individual
Full Name DR. ETOSHA D DIXON
Credential M.D.
Practice Address 4538 Edmondson Ave
Baltimore
MD 21229-1506
Mailing Address 5525 Research Park Dr Fl 4
Baltimore
MD 21228-4873
Practice Telephone 4103282273
Practice Fax Number 4103621750
Mailing Telephone 4108823240
Mailing Fax Number 4106615093
Enumeration Date 2006-04-01
Last Update Date 2020-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 22045 WV Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
D61785 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS MD 89660801 01
CAREFIRST BCBS OF DC 9676-0039 01
CAREFIRST BCBS OF MD 093NSE-896608-01 01
BCBS 769698 01
EVERCARE 0442052 01
CAREFIRST BCBS OF MD 093NER-896608-01 01
BCBS-DC T016-0057 01
MD 005559001 05
CAREFIRST DC 0056 01
EVERCARE 0123302 01
MD 805701000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8800 Walther Blvd, Baltimore, MD 212349001 4108823240 4106615093

Office Location

Street Address 4538 EDMONDSON AVE
City BALTIMORE
State MD
Zip Code 21229-1506

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851907141 Time Organization, Inc. Community/Behavioral Health 4538 Edmondson Ave, Baltimore, MD 21229-1506 2020-09-22
1629210166 University Care Psychologist 4538 Edmondson Ave, Baltimore, MD 21229-1506 2009-03-30
1063512200 Catharine Louise Weiss Psychologist 4538 Edmondson Ave, Baltimore, MD 21229-1506 2006-09-25
1497760276 University Care LLC Internal Medicine 4538 Edmondson Ave, Baltimore, MD 21229-1506 2006-07-30
1134153034 Neil Siegel Emergency Medicine 4538 Edmondson Ave, Baltimore, MD 21229-1506 2006-07-10
1275565251 Marc Wilson Emergency Medicine 4538 Edmondson Ave, Baltimore, MD 21229-1506 2006-07-07
1164454005 Joyce Evans Family Medicine 4538 Edmondson Ave, Baltimore, MD 21229-1506 2006-07-07
1245269018 Stacy Garrett Emergency Medicine 4538 Edmondson Ave, Baltimore, MD 21229-1506 2006-07-02
1306885280 Ivara Alistair Esege Specialist 4538 Edmondson Ave, Baltimore, MD 21229-1506 2006-06-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265068373 Bodyworks Medical Clinic/Center St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 2020-03-20
1750932430 Amanda Felix Nurse Practitioner 5411 Old Frederick Road, Catonsville, MD 21229 2019-09-24
1497317853 Wakeelat A Adeoye Nurse Practitioner 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 2019-07-05
1598328080 Oprah Cherelle Keyes Social Worker 4511 Birchwood Drive, Baltimore, MD 21229 2019-04-19
1477051779 Shahin Vohara Dentist Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 2018-02-01
1386179299 Sharon Mccollough Counselor 3219 Phelps Lane, First Floor, Baltimore, MD 21229 2017-04-28
1184175697 Yekeen Odewale Registered Nurse 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 2016-10-19
1942608070 Charity Ashe Social Worker 4024 Colborne Rd, Baltimore, MD 21229 2014-12-05
1376947127 Sumanya Venkat Rao Dentist 4510 Edmondson Ave, Baltimore, MD 21229 2014-10-21
1497091573 Anita Phillips Social Worker 5110 Frederick Avenue, Baltimore, MD 21229 2012-12-18
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336140524 George Hennawi Family Medicine 5601 Loch Raven, Russell Morgan, Baltimore, MD 21239 2005-08-10
1902158678 Bravo Health Advanced Care Center, P.C. Family Medicine 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 2012-10-05
1336217819 James Paul Richardson Family Medicine 900 Caton Ave, Department of Medicine, Sixth Floor, Baltimore, MD 21229-5201 2006-12-01
1235217225 Shari Miura Ling Family Medicine 3001 S Hanover St, Room Nm533, Baltimore, MD 21225-1233 2006-11-01
1912921453 Karen A. Cousins Family Medicine 827 Linden Ave, Baltimore, MD 21201 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376735100 Edger V Potter Jr Md Inc Family Medicine 12017 Fort Washington Rd, Fort Washington, MD 20744-6004 2007-08-15
1750595401 Ted Eric Howe Family Medicine 18100 Slade School Rd, Sandy Spring, MD 20860-1313 2007-05-10
1265594493 Andres Salazar Family Medicine 3621 Ligon Rd, Ellicott City, MD 21042-5238 2006-12-14
1497841563 Farzana Ajmal Family Medicine 19731 Executive Park Cir, Germantown, MD 20874-2642 2006-10-05
1942391693 Paul A. Devore Md PC Family Medicine 4203 Queensbury Rd, Hyattsville, MD 20781-1435 2006-09-27
1063445013 Lifestyle Medical Center, Cheryl Brown-christopher M. D., Chartered Family Medicine 116 Defense Hwy Ste 200, Annapolis, MD 21401-7045 2006-07-09
1932135548 Nagji J Sureja Family Medicine 4212 Ridge Rd, Westminster, MD 21157-7849 2006-06-24
1689612236 Raman Tuli, Md, P.C. Family Medicine 10810 Darnestown Rd, Suite 202, Gaithersburg, MD 20878-2675 2006-06-04
1851346423 Arvind D Desai Family Medicine 30 Corporate Center, 10440 Little Patuxent Parkway, Suite 300, Columbia, MD 21044-3648 2006-05-23
1134102775 Cyrus Hamidi Family Medicine 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9451 2005-11-29
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Competitor

Search similar providers

City BALTIMORE
Zip Code 21229

Improve Information

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Dataset Information

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.

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