Stephan George Dixon (NPI# 1396125589, PAC ID# 7416256607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1396125589 |
| PAC ID by PECOS | 7416256607 |
| Professional Enrollment ID | I20190509000899 |
| Full Name | Stephan George Dixon |
| Organization Legal Name | UNIVERSITY FAMILY PHYSICIANS, INC. |
| Address |
1160 W Michigan St Glick Eye Institute. Indianapolis IN 46202-5209 |
| Phone Number | 3172748989 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7911992797 |
| Number of Group Practice Members | 312 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150024 | ESKENAZI HEALTH |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 1160 W Michigan St, Glick Eye Institute., Indianapolis, IN 46202-5209 | 3172748989 | UNIVERSITY FAMILY PHYSICIANS, INC. |
| Organization Legal Name | UNIVERSITY FAMILY PHYSICIANS, INC. |
| Physicians | 298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Keyes Barrett | Physician Assistant | University Family Physicians, Inc. | 1111 N Ronald Regan Pkwy, Indiana University Health West Hospital, Avon, IN 46123-7085 |
| Lucas M Teel | Nurse Practitioner | University Family Physicians, Inc. | 404 E Washington St A, Indianapolis, IN 46204-2609 |
| Rohit Gulati | Pathology | University Family Physicians, Inc. | 350 W 11th St, Indiana Universtiy Pathology Lab, Indianapolis, IN 46202-4108 |
| Suzanne Lappas | Nurse Practitioner | University Family Physicians, Inc. | 2625 E 62nd St, 2010 Iu Health Physicians Primary Care, Indianapolis, IN 46220-0037 |
| Dan Robert Leimann Jr. | General Practice | University Family Physicians, Inc. | 2230 Stafford Rd, Suite 145, Plainfield, IN 46168-2793 |
| Ryan K Alexander | Internal Medicine | University Family Physicians, Inc. | 5550 S E St I, Iu Health Physicians Primary Care, Indianapolis, IN 46227-1991 |
| Kimbre V Zahn | Sports Medicine | University Family Physicians, Inc. | 1 American Sq, Suite 185, Indianapolis, IN 46282-0003 |
| Drew A Kepple | Internal Medicine | University Family Physicians, Inc. | 1351 Ronald Reagan Pkwy, Suite B, Avon, IN 46123-6764 |
| Merrill D Benson | Pathology | University Family Physicians, Inc. | 1520 N Senate Ave, Iu Health Physicians, Indianapolis, IN 46202-2213 |
| Zandra S Dhue | Pathology | University Family Physicians, Inc. | 1300 S Jackson St, Frankfort, IN 46041-3313 |
| Street Address |
1160 W MICHIGAN ST GLICK EYE INSTITUTE. |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46202-5209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Martin | Ophthalmology | University Family Physicians, Inc. | 1160 W Michigan St, Glick Eye Institute., Indianapolis, IN 46202-5209 |
| Samantha L Polster | Optometry | University Family Physicians, Inc. | 1160 W Michigan St, Glick Eye Institute., Indianapolis, IN 46202-5209 |
| Shaohui Liu | Ophthalmology | University Family Physicians, Inc. | 1160 W Michigan St, Glick Eye Institute., Indianapolis, IN 46202-5209 |
| Denis Jusufbegovic | Ophthalmology | University Family Physicians, Inc. | 1160 W Michigan St, Glick Eye Institute., Indianapolis, IN 46202-5209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha N Jahnke | Optometry | 640 E Michigan St, Suite B, Indianapolis, IN 46202-0007 | |
| Elizabeth Ann Collins | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Julie D Dunlap | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Gabriel M Krause | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Jian Ye | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Anne E Cossu | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Molly Colgan Gerety | Certified Registered Nurse Anesthetist (crna) | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Alex J Serafin | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Senthilkumar Sadhasivam | Anesthesiology | Iu Anesthesiology Associates-pediatrics, LLC | 1130 W Michigan St, Fesler Hall Rm 204, Indianapolis, IN 46202-0269 |
| Donal P Dunne | Gastroenterology | Meridian Medical Group PC | 1801 N Senate Blvd, Suite 700, Indianapolis, IN 46202-1177 |
| Find all physicians in zip 46202 | |||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | INDIANAPOLIS + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.