KEITH ALAN DIXON (NPI# 1780789180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780789180 |
| Entity Type | Individual |
| Full Name | KEITH ALAN DIXON |
| Credential | MD |
| Practice Address |
4509 E Mccain Blvd North Little Rock AR 72117-2902 |
| Mailing Address |
4509 East Mccain Bldv North Little Rock AR 72117 |
| Practice Telephone | 5019458080 |
| Practice Fax Number | 5019455040 |
| Mailing Telephone | 5019458080 |
| Mailing Fax Number | 5019455040 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
R3514 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 51377 | 01 |
| AR | QUALCHOICE | 1238100005 | 01 |
| AR | MEDICARE PART A | 042548 | 01 |
| AR | UNITED HEALTH CARE | 3120013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606810 | Keith R. Dixon | Internal Medicine | 1 Maywood Ave, Maywood, NJ 07607-1001 | 2005-08-11 |
| 1104397181 | Keith P Dixon | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2018-12-17 |
| 1225537210 | Keith R Dixon | Clinic/Center | 7 W 30th St Fl 9, New York, NY 10001-4406 | 2018-02-06 |
| 1255492401 | Keith L Dixon | Specialist | 631 Beacon Pkwy W, Suite 110, Birmingham, AL 35209-3124 | 2006-12-12 |
| Street Address |
4509 E MCCAIN BLVD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100534 | Sherri Lee Diamond | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2005-08-03 |
| 1588223861 | Hermien Clyburn | Nurse Practitioner | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2019-06-10 |
| 1528578002 | Timothy R Cook Md | Internal Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2017-10-10 |
| 1184134660 | Lyndi Mullinax | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2017-10-10 |
| 1710075056 | Dialysis Centers of Arkansas, Pa | Clinic/Center | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-10-11 |
| 1265544373 | Diagnostic Physicians of Arkansas, Pa | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-31 |
| 1043327950 | North Hills Family Clinic Pa | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-24 |
| 1053424515 | Stanley C Burns | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-17 |
| 1124132485 | Joel Christopher Cobb | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-17 |
| 1427060698 | Jock S Cobb | Family Medicine | 4509 E Mccain Blvd, North Little Rock, AR 72117-2902 | 2006-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1083075121 | Ronald Hughes | Internal Medicine | 4919 Stonewall Rd, Little Rock, AR 72207-4735 | 2016-03-17 |
| 1578806477 | Washington Regional Medical System | Internal Medicine | 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6314 | 2013-03-29 |
| 1194909325 | Umbar Ghaffar | Internal Medicine | 813 Founders Park Drive, Suite 203, Springdale, AR 72762-6314 | 2007-12-24 |
| 1588845259 | Nephrology Associates, PC | Internal Medicine | 1409 E Moultrie Dr, Blytheville, AR 72315-6855 | 2007-11-21 |
| 1255543278 | Prajwal Chevireddy | Internal Medicine | 9601 Baptist Health Dr Ste 350, Little Rock, AR 72205-6356 | 2007-05-03 |
| 1538383799 | Adam Woodruff | Internal Medicine | 4802 E. Johnson Ave, Jonesboro, AR 72401 | 2007-04-12 |
| 1376665646 | Drew Courtney Heiple | Internal Medicine | 115 Wrights St Ste C, Hot Springs National Park, AR 71913-6240 | 2007-04-06 |
| 1174608905 | Daniel P Chock | Internal Medicine | 503 S College St, Mountain Home, AR 72653 | 2006-10-27 |
| 1942308101 | Gregory P. Mock | Internal Medicine | 403 S Poplar St Ste D, Searcy, AR 72143-6000 | 2006-09-20 |
| 1932202819 | Muhammad G Alam | Internal Medicine | 500 S University Ave Ste 508, Little Rock, AR 72205-5306 | 2006-09-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
Please comment or provide details below to improve the information on KEITH ALAN DIXON.
| 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.