Active NPI
Henry Charles Dixon III, M.D
- Internal Medicine Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 013551
- Practice address
- 3401 North Blvd
Ste 200-a
Baton Rouge, LA 70806-3743 - Phone
- (225) 387-0851
- Fax
- (225) 383-8477
- NPI assigned
- Jan 2, 2007
- Last updated
- Sep 23, 2014
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 013551 | LA | Primary |
Addresses
Primary practice location
3401 North Blvd
Ste 200-a
Baton Rouge, LA 70806-3743
Mailing address
8490 Picardy Ave
BLDG 200
Baton Rouge, LA 70809-3731
Phone (225) 237-1754
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1161683 | Medicaid | LA | |
| 51392F809 | Other | LA | MEDICARE PTAN |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13551 | LA | MD | Mental Health Counselor |
| 013551 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge General Physicians, Inc. | Current | Accepting new patients | |
| Baton Rouge General Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
3401 North Blvd
Ste 200A
Baton Rouge, LA 70806
Phone (225) 387-0851
3401 North Blvd
Ste 300
Baton Rouge, LA 70806
Phone (225) 381-2727
8490 Picardy Ave
Ste 200
Baton Rouge, LA 70809
Phone (225) 237-1754
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900
9001 Summa Ave
Ste 448
Baton Rouge, LA 70809
610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1255498010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8490 PICARDY AVE",
"address_2": "BLDG 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093731",
"telephone_number": "225-237-1754",
"fax_number": "225-237-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 NORTH BLVD",
"address_2": "STE 200-A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063743",
"telephone_number": "225-387-0851",
"fax_number": "225-383-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "HENRY",
"middle_name": "CHARLES",
"name_suffix": "III",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "013551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1161683",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "51392F809",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.