Individual provider Active NPI

Dixie Ann McClendon-Coker, M.D.

  • Obstetrics & Gynecology Physician
  • Lufkin, TX
National Provider Identifier
1144427261
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
N0959 Issued in TX
Practice address
1105 W Frank Ave
Suite 110
Lufkin, TX 75904-3303
Phone
(936) 634-1620
Fax
(936) 639-8972
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X N0959 TX Primary

Addresses

Primary practice location

1105 W Frank Ave
Suite 110
Lufkin, TX 75904-3303

Mailing address

1105 W Frank Ave
Suite 110
Lufkin, TX 75904-3303
Phone (936) 634-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170125001420 TX Practitioner - Obstetrics/Gynecology 6204058787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke's Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

1105 W Frank Ave
Suite 110
Lufkin, TX 75904-3302
Phone (936) 634-1620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke's Medical Group CurrentSince Nov 1, 2017 Accepting new patients
Memorial Health System of East Texas Past Accepting new patients
Piney Woods Healthcare System, L.P. Past Accepting new patients

Locations

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

1105 W Frank Ave
Ste 110
Lufkin, TX 75904
Phone (936) 634-1620

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

600 E Hospital St
San Augustine, TX 75972
Phone (936) 275-4420

17350 St Lukes Way
Ste 400
The Woodlands, TX 77384
Phone (832) 249-3721

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: dmcclendoncoker457551@direct.stlukeshealth.org
  • Direct secure messaging: dixie.mcclendoncoker@memc.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1144427261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W FRANK AVE",
            "address_2": "SUITE 110",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-634-1620",
            "fax_number": "936-639-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W FRANK AVE",
            "address_2": "SUITE 110",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-634-1620",
            "fax_number": "936-639-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON-COKER",
        "first_name": "DIXIE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N0959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.