Active NPI
Tyrone W Dixon, PA
- Medical Physician Assistant
- Tampa, FL
National Provider Identifier
1225089188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA3068
- Practice address
- 2108 W Idlewild Ave
Tampa, FL 33603-1038 - Phone
- (813) 878-2606
- NPI assigned
- May 15, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA3068 | FL | Primary |
Addresses
Primary practice location
2108 W Idlewild Ave
Tampa, FL 33603-1038
Mailing address
4141 N Miami Ave
Miami, FL 33127-2848
Phone (305) 573-4442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3068 | FL | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225089188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 N MIAMI AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331272848",
"telephone_number": "305-573-4442",
"fax_number": "305-573-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 W IDLEWILD AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336031038",
"telephone_number": "813-878-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "TYRONE",
"middle_name": "W",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA3068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.