STACEY ANN DIXON (NPI# 1083932552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083932552 |
| Entity Type | Individual |
| Full Name | STACEY ANN DIXON |
| Credential | MD |
| Practice Address |
4004 Louisa Road Catlettsburg KY 41129-0001 |
| Mailing Address |
4004 Louisa Rd Family Care Center- Kdmc Catlettsburg KY 41129-1091 |
| Practice Telephone | 6067396095 |
| Mailing Telephone | 6067396095 |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2013-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 45839 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
4004 LOUISA ROAD |
| City | CATLETTSBURG |
| State | KY |
| Zip Code | 41129-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146100 | Jason Wesley Mullins | Physician Assistant | 4004 Louisa Road, Catlettsburg, KY 41129-1091 | 2015-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233702 | Amelia Beth Coleman | Dentist | 16005 Us-23 South, Catlettsburg, KY 41129 | 2020-07-29 |
| 1194371112 | Vlado Pavlovic | Dentist | 16005 Us-23, Catlettsburg, KY 41129 | 2019-08-15 |
| 1174883227 | James Jason Farley | Pharmacist | Us 23 & 35th St, Catlettsburg, KY 41129 | 2012-05-23 |
| 1972894285 | Richard Wayne Dodson | Pharmacist | Us 23 and 35th Street, Catlettsburg, KY 41129 | 2011-04-21 |
| 1780762823 | Farah Anees | Family Medicine | 4009 Louisa Road, Catlettsburg, KY 41129 | 2006-11-02 |
| 1285727917 | Dianna Carol Grubb | Developmental Therapist | 2703 Roe Creek Rd, Catlettsburg, KY 41129 | 2006-10-02 |
| 1356829147 | Ryan Thomas Faulkner | Nurse Practitioner | 4004 Louisa Rd, Catlettsburg, KY 41129 | 2018-08-02 |
| 1750834008 | Ryann Lynn Thornsberry | Pharmacist | 3501 Court St, Catlettsburg, KY 41129-1011 | 2016-08-03 |
| 1043853450 | Annie T Smith | Pharmacist | 3501 Court St, Catlettsburg, KY 41129-1011 | 2019-10-18 |
| 1962975482 | Robert Anthony Smith Jr. | Pharmacist | 3501 Court St, Catlettsburg, KY 41129-1011 | 2019-01-08 |
| Find all providers in zip 41129 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780762823 | Farah Anees | Family Medicine | 4009 Louisa Road, Catlettsburg, KY 41129 | 2006-11-02 |
| 1386684959 | Anna G Patton | Family Medicine | 4004 Louisa Rd, Catlettsburg, KY 41129-1091 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | CATLETTSBURG |
| Zip Code | 41129 |
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| 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.