Jerry W Dixon (NPI# 1316970148, PAC ID# 9032126263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1316970148 |
| PAC ID by PECOS | 9032126263 |
| Professional Enrollment ID | I20061004000623 |
| Full Name | Jerry W Dixon |
| Organization Legal Name | ARKANSAS HEART HOSPITAL LLC |
| Address |
5 Medical Park Dr Suite 203 Benton AR 72015-3732 |
| Phone Number | 5016645860 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 6002838653 |
| Number of Group Practice Members | 80 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040134 | ARKANSAS HEART HOSPITAL, LLC |
| 040084 | SALINE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5 Medical Park Dr, Suite 203, Benton, AR 72015-3732 | 5016645860 | ARKANSAS HEART HOSPITAL LLC |
| 7 Shackleford W Blvd, Arkansas Heart Hospital Clinic, Little Rock, AR 72211-3886 | 5016645860 | ARKANSAS HEART HOSPITAL LLC |
| Organization Legal Name | ARKANSAS HEART HOSPITAL LLC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley G Lane | Cardiovascular Disease (cardiology) | Arkansas Heart Hospital LLC | 21514 I 30, Bryant, AR 72022-8068 |
| Joseph W Forney | Cardiovascular Disease (cardiology) | Arkansas Heart Hospital LLC | 7 Shackleford W Blvd, Arkansas Heart Hospital Clinic, Little Rock, AR 72211-3886 |
| Amy Lynn Beard | Emergency Medicine | Arkansas Heart Hospital LLC | 7 Shackelford W Blvd, Little Rock, AR 72211-3714 |
| James M Myers | General Surgery | Arkansas Heart Hospital LLC | 605 Dave Ward Dr, 105 Arkansas Heart Hospital Clinic, Conway, AR 72034-7138 |
| Jessica L Fite | Physician Assistant | Arkansas Heart Hospital LLC | 21514 I 30, Bryant, AR 72022-8068 |
| Lisa Ivy | Nurse Practitioner | Arkansas Heart Hospital LLC | 7 Shackleford W Blvd, Arkansas Heart Hospital Clinic, Little Rock, AR 72211-3886 |
| Samuel E Bledsoe | General Surgery | Arkansas Heart Hospital LLC | 7 Shackleford W Blvd, Arkansas Heart Hospital Clinic, Little Rock, AR 72211-3886 |
| Sarah J Jones | Nurse Practitioner | Arkansas Heart Hospital LLC | 7 Shackleford W Blvd, Arkansas Heart Hospital Clinic, Little Rock, AR 72211-3886 |
| Abigail G Connerly | Nurse Practitioner | Arkansas Heart Hospital LLC | 7 Shackleford W Blvd, Arkansas Heart Hospital Clinic, Little Rock, AR 72211-3886 |
| Patrick K Stage | Nurse Practitioner | Arkansas Heart Hospital LLC | 7 Shackleford W Blvd, Arkansas Heart Hospital Clinic, Little Rock, AR 72211-3886 |
| Street Address |
5 MEDICAL PARK DR SUITE 203 |
| City | BENTON |
| State | AR |
| Zip | 72015-3732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Brizzolara | Urology | Saline Clinics LLC | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 |
| Lewis E Porter | General Surgery | Saline Clinics LLC | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 |
| Rex E Luttrell | General Surgery | Saline Clinics LLC | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 |
| Vasili Lendel | Interventional Cardiology | Arkansas Heart Hospital LLC | 5 Medical Park Dr, Suite 203, Benton, AR 72015-3732 |
| Kristin Patton | General Surgery | Saline Clinics LLC | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 |
| Clinton Wade Fox | Family Practice | 5 Medical Park Dr, Benton, AR 72015-3729 | |
| Michelle M Kiser | General Surgery | Mission Hospitals Inc | 5 Medical Park Dr, Asheville, NC 28803-2493 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Louise White | Clinical Social Worker | Birch Tree Communities Inc | 1506 Mary Kay Blvd, Benton, AR 72015 |
| Bradford Holloway | Clinical Social Worker | Birch Tree Communities Inc | 1502 Mary Kay Blvd, Benton, AR 72015-0001 |
| Christopher T Culpepper | Chiropractic | Pain Care Associates P A | 1900 Military Rd, Suite 1, Benton, AR 72015-2819 |
| Jennifer N Eidson | Clinical Social Worker | Saline Psychological Services Inc. | 1212 Military Rd, Suite D, Benton, AR 72015-2845 |
| Rebecca L Schlau | Psychologist, Clinical | Saline Psychological Services Inc. | 1212 Military Rd, Suite D, Benton, AR 72015-2845 |
| John V Baka | Obstetrics/gynecology | 1220 Military Rd, Benton, AR 72015-2908 | |
| Krista J Koder | Physical Therapy | Pro-active Rehab, Inc | 1308 Military Rd, Benton, AR 72015-2911 |
| Mark Albey | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Kristen Wright | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Lisa R Barker | Family Medicine | Prospective Health Ltd | 1304 Military Rd, Benton, AR 72015-2911 |
| Find all physicians in zip 72015 | |||
| City | BENTON |
| Zip Code | 72015 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BENTON + GENERAL SURGERY |
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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.