KEVIN DIXON DO PA (NPI# 1619382934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619382934 |
| Entity Type | Organization |
| Organization Name | KEVIN DIXON DO PA |
| Practice Address |
1111 W Frank Ave Suite 100 Lufkin TX 75904-3303 |
| Practice Telephone | 9366392244 |
| Practice Fax Number | 9366392420 |
| Mailing Telephone | 9366392244 |
| Mailing Fax Number | 9366392420 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2015-09-03 |
| Authorized Official Name | DR. KEVIN DIXON (PRESIDENT) |
| Authorized Official Telephone | 9366392244 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | P9552 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1111 W FRANK AVE SUITE 100 |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074034 | David Thomas Price | Urology | 1111 W Frank Ave, Suite 303, Lufkin, TX 75904-3303 | 2005-06-22 |
| 1255617007 | Tina Caudle Price | Nurse Practitioner | 1111 W Frank Ave, Suite 303, Lufkin, TX 75904-3303 | 2011-10-25 |
| 1194003962 | Richard Roby Md Pa | Internal Medicine | 1111 W Frank Ave, Suite 100, Lufkin, TX 75904-3303 | 2011-07-28 |
| 1023306545 | Kevin W Farris M.d., P.a. | Family Medicine | 1111 W Frank Ave, Suite 301, Lufkin, TX 75904-3303 | 2011-07-18 |
| 1831404565 | David T. Price, Md, Pa | Urology | 1111 W Frank Ave, Suite 303, Lufkin, TX 75904-3303 | 2010-08-18 |
| 1558680454 | David J. Bailey, M.d., Pa | Otolaryngology | 1111 W Frank Ave, Ste. 301, Lufkin, TX 75904-3303 | 2010-05-18 |
| 1295065142 | Kevin Wayne Farris | Family Medicine | 1111 W Frank Ave, Suite 301, Lufkin, TX 75904-3303 | 2009-12-28 |
| 1760615157 | Julie Christensen | Dietitian, Registered | 1111 W Frank Ave, Suite 303, Lufkin, TX 75904-3303 | 2009-09-01 |
| 1750570008 | Pickett Heart Clinic | Internal Medicine | 1111 W Frank Ave, Suite 203, Lufkin, TX 75904-3303 | 2007-10-22 |
| 1215057906 | Campbell Urology, P.a. | Specialist | 1111 W Frank Ave, Suite 201, Lufkin, TX 75904-3303 | 2007-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1417360538 | Srinivasa Gurram | Internal Medicine | 3100 Daniel Mccall Dr, Apt# 3301, Lufkin, TX 75904-7169 | 2014-06-05 |
| 1750726550 | Mariyam Cherry | Internal Medicine | 10 Medical Center Blvd Ste J, Lufkin, TX 75904-3163 | 2013-05-07 |
| 1407155070 | Reagan Darice Novak Bonin | Internal Medicine | Charles Wilson Outpatient Clinic, 2206 N John Redditt Dr, Lufkin, TX 75904 | 2011-03-22 |
| 1629389861 | Swapna Reddy Bemalgi | Internal Medicine | 818 W. Frank Avenue, Lufkin, TX 75904 | 2010-06-22 |
| 1154640001 | Juan Antonio Hernandez | Internal Medicine | 232 N John Redditt Dr Ste B, Lufkin, TX 75904-2620 | 2010-05-18 |
| 1376614362 | Krohn Internal Medicine Association | Internal Medicine | 10 Medical Center Blvd Ste E, Lufkin, TX 75904-3163 | 2006-11-13 |
| 1164511408 | Pratibha Amol Deshpande | Internal Medicine | 818 West Frank Street, Lufkin, TX 75904 | 2006-10-12 |
| 1396850954 | Sudheer R Karnati Md Pa | Internal Medicine | 5 Medical Center Blvd, Lufkin, TX 75904-3173 | 2006-08-21 |
| 1689684227 | Samuel S Santiago | Internal Medicine | 202 S Bynum, Lufkin, TX 75904 | 2006-08-08 |
| 1497765036 | Josefa S Santiago | Internal Medicine | 202 So Bynum, Lufkin, TX 75904 | 2006-08-08 |
| Find all providers in LUFKIN | ||||
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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.