EARL R DIXON (NPI# 1962430165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962430165 |
| Entity Type | Individual |
| Full Name | EARL R DIXON |
| Credential | MD |
| Practice Address |
2 Columbia Dr Tampa FL 33606-3508 |
| Mailing Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 8138447000 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
ME71240 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD OF FL | 43116 | 01 |
| FL | 254054100 | 05 | |
| FL | BSBC | 43116 | 01 |
| Street Address |
2 COLUMBIA DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854383 | William Arthur Grass | Nurse Practitioner | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2005-07-13 |
| 1588989404 | Debra N Brosius | Psychologist | 2 Columbia Dr, Tampa, FL 33606-3683 | 2010-04-03 |
| 1235382789 | Christopher M Orenich | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-28 |
| 1568614121 | Anthony E Lumas | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-15 |
| 1235380239 | Zhen Li | Nurse Anesthetist, Certified Registered | 2 Columbia Dr, Suite A327, Tampa, FL 33606-3508 | 2008-10-08 |
| 1104075753 | Habib Ajami | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1649429374 | Jose J Correa | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1447409172 | Matthias Setzer | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-18 |
| 1689823411 | Jason R Pericak | Radiology | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-17 |
| 1740439413 | Sean A Phillips | Student in an Organized Health Care Education/Training Program | 2 Columbia Dr, J402, Tampa, FL 33606-3508 | 2008-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990515 | Nadya Telt | Pediatrics | 2502 W Saint Isabel St Ste B, Tampa, FL 33607 | 2012-04-11 |
| 1194946228 | Thomas Joseph Abrunzo | Pediatrics | 2706 Fountain Boulevard, Tampa, FL 33609-4010 | 2007-05-02 |
| 1356779250 | Pm Pediatrics | Pediatrics | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2013-10-31 |
| 1023334844 | Pm Pediatric Place, Md Pa | Pediatrics | 1338 W Fletcher Ave, Tampa, FL 33612-3366 | 2010-04-19 |
| 1700814324 | Neil C. Reinhardt | Pediatrics | 2 Columbia Dr, Tampa, FL 33606-3508 | 2006-06-30 |
| 1992746879 | After Hours Pediatrics, Inc. | Pediatrics | 3901 Coconut Palm Dr Ste 120, Tampa, FL 33619 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801047352 | Efren A Salinero | Pediatrics | 1014 W Harvard St, Orlando, FL 32804-5208 | 2008-10-02 |
| 1730356007 | Lazaro C. Daud | Pediatrics | 5955 Ponce De Leon, Coral Gables, FL 33146 | 2008-05-14 |
| 1508893124 | Mary Deffner Patterson | Pediatrics | 1600 Sw Archer Rd # 100186, Gainesville, FL 32610-3003 | 2006-06-27 |
| 1689637589 | Jean Ernst Jean Baptiste | Pediatrics | 7970 Summerlin Lakes Dr Ste 200, Ft Myers, FL 33907 | 2006-04-11 |
| 1669475349 | Pompano Er Pediatrics LLC | Pediatrics | 201 E Sample Rd, Pompano Er Pediatrics, Pompano Beach, FL 33064-3502 | 2005-05-24 |
| 1700351863 | Kidz Medical Srv | Pediatrics | 9200 Bonita Beach Rd Se Ste 106, Bonita Springs, FL 34135-4254 | 2018-10-04 |
| 1629571062 | Michelle Villanueva Gutierrez | Pediatrics | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2018-03-12 |
| 1912361122 | Nicole Saizon Hardy | Pediatrics | 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0186 | 2016-04-13 |
| 1407218613 | Angelica Monique Johnson | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
| 1548622764 | Jasmine Nebhrajani | Pediatrics | 5955 Ponce De Leon Blvd, Coral Gables, FL 33146-2423 | 2016-03-26 |
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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.