DR. ANDREW C DIXON (NPI# 1538129226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538129226 |
| Entity Type | Individual |
| Full Name | DR. ANDREW C DIXON |
| Credential | MD |
| Practice Address |
360 Broadway Bangor ME 04401 |
| Mailing Address |
C/o St Marys Health System - Provider Enrollment Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2079071155 |
| Practice Fax Number | 2079071888 |
| Mailing Telephone | 2077778560 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME13306 | ME | Allopathic & Osteopathic Physicians |
| N | 225500000X | Specialist/Technologist | 013306 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | STATE MEDICAL LICENSE NUM | 013306 | 01 |
| ME | 163580000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 118 Northport Ave, Belfast, ME 049156009 | 2079306715 | 2079306716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296514 | Andrew Alexander Dixon | Internal Medicine | 5255 Snapfinger Park Dr, Ste 110, Decatur, GA 30035-4066 | 2005-06-27 |
| 1174865562 | Andrew William Dixon | Family Medicine | 3020 14th St Nw, Washington, DC 20009-6865 | 2013-03-23 |
| 1548550767 | Andrew L Dixon | Anesthesiology | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2011-04-08 |
| 1396817433 | Andrew S Dixon | Chiropractor | 211 Old Hickory Blvd, Nashville, TN 37221-1301 | 2006-11-14 |
| Street Address |
360 BROADWAY |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321545 | St. Joseph Hospital | General Acute Care Hospital | 360 Broadway, Bangor, ME 04401-3979 | 2005-07-28 |
| 1346802170 | Sadie Austin | Physician Assistant | 360 Broadway, Bangor, ME 04401-3900 | 2019-07-02 |
| 1386202794 | Ashley Gott Haase | Physical Therapist | 360 Broadway, Bangor, ME 04401-3979 | 2019-05-31 |
| 1992286546 | Royce Blackwood | Physician Assistant | 360 Broadway, Bangor, ME 04401-3979 | 2018-08-22 |
| 1609356559 | Casey Marie Northup | Pharmacy Technician | 360 Broadway, Bangor, ME 04401-3900 | 2018-08-20 |
| 1407332869 | Sara Winings | Pharmacist | 360 Broadway, Bangor, ME 04401-3979 | 2018-07-18 |
| 1811489156 | Sandra Bartlett | Pharmacist | 360 Broadway, Bangor, ME 04401-3979 | 2018-06-02 |
| 1366999534 | Eliza Sharma | Internal Medicine | 360 Broadway, Bangor, ME 04401-3900 | 2016-09-06 |
| 1871946731 | Katelyn Hopper | Anesthesiology | 360 Broadway, Bangor, ME 04401-3979 | 2016-07-15 |
| 1790139459 | Stephen Calabrese | Anesthesiology | 360 Broadway, Bangor, ME 04401-3979 | 2016-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114124237 | Frantisek Sandor | Internal Medicine | 417 State St, Suite 400, Bangor, ME 04401-6630 | 2007-07-02 |
| 1245339001 | Aleksey V Bogolyubov | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401 | 2006-09-21 |
| 1417985508 | Elizabeth Bollenbacher | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6630 | 2006-06-29 |
| 1932147394 | Robert Chavko | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6630 | 2006-06-04 |
| 1710925201 | Penobscot Respiratory | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6630 | 2006-06-04 |
| 1740239466 | Thomas M Frey | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6690 | 2006-05-09 |
| 1841249554 | Edward M Harrow | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6690 | 2006-05-09 |
| 1407805120 | Robert W Hand | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6690 | 2006-05-09 |
| 1083662571 | Frederick A Oldenburg Jr. | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6690 | 2006-05-05 |
| 1821046541 | Sigrid Noack | Internal Medicine | 417 State St, Ste 400, Bangor, ME 04401-6690 | 2006-05-05 |
| Find all providers in BANGOR | ||||
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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.