Active NPI
TK Dixon MD
- Urology Physician
- Ashland, KY
National Provider Identifier
1043620016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 29603
- Legal business name
- TK DIXON MD
- Practice address
- 336 29TH St
Suite 101
Ashland, KY 41101-1900 - Phone
- (606) 324-4404
- Fax
- (606) 325-6822
- NPI assigned
- Apr 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Kevin Dixon, MD
- Title
- Owner
- Phone
- (606) 324-4404
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 29603 | KY | Primary |
| Physician Assistant | 363A00000X | KY | ||
| Surgical Physician Assistant | 363AS0400X | KY |
Addresses
Primary practice location
336 29TH St
Suite 101
Ashland, KY 41101-1900
Mailing address
336 29TH St
Suite 101
Ashland, KY 41101-1900
Phone (606) 324-4404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102363 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
336 29th St
Ste 101
Ashland, KY 41101
Phone (606) 324-4404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Summerfield, FL
- NPI 1679542195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410393600000",
"number": "1043620016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 29TH ST",
"address_2": "SUITE 101",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411011900",
"telephone_number": "606-324-4404",
"fax_number": "606-325-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 29TH ST",
"address_2": "SUITE 101",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411011900",
"telephone_number": "606-324-4404",
"fax_number": "606-325-6822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TK DIXON MD",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-30",
"last_updated": "2014-09-11",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-324-4404",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "KY",
"license": "29603",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102363",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.