Active NPI
Robert Mark Dixon, MD
- Surgery Physician
- Luke Afb, AZ
National Provider Identifier
1114915246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34167
- Practice address
- 7219 N Litchfield Rd
56TH Mdos/Sgosgs
Luke Afb, AZ 85309-1529 - Phone
- (632) 856-9717
- Fax
- (623) 856-4674
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34167 | AZ | Primary |
Addresses
Primary practice location
7219 N Litchfield Rd
56TH Mdos/Sgosgs
Luke Afb, AZ 85309-1529
Mailing address
PO Box 1260
Litchfield Park, AZ 85340-1260
Phone (623) 856-9717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34167 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients |
Locations
2601 E Roosevelt St
Fl 2
Phoenix, AZ 85008
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
Interoperability endpoints
- rdixon24638@direct.valleywisehealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Gastroenterology Physician
- Phoenix, AZ
- NPI 1356674469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1114915246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1260",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853401260",
"telephone_number": "623-856-9717",
"fax_number": "623-856-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7219 N LITCHFIELD RD",
"address_2": "56TH MDOS/SGOSGS",
"city": "LUKE AFB",
"state": "AZ",
"postal_code": "853091529",
"telephone_number": "632-856-9717",
"fax_number": "623-856-4674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "ROBERT",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "34167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Luke Afb, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.