Dixon Medical Clinic,Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DIXON MEDICAL CLINIC,INC

Practice address

4750 North Blvd
Baton Rouge, LA 70806-4016

Phone

(225) 218-0703

Fax

(225) 218-1155

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry Charles Dixon III, M.D.

Title

Chief Operating Officer

Phone

(225) 218-0703

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine J. Laborde, M.D.

  • Emergency Medicine Physician
  • Hammond, LA
  • NPI 1346316411
  NPD (past)
• Robert S. Muhumuza, M.D.

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1073524591
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1295889111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 NORTH BLVD",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064016",
            "telephone_number": "225-218-0703",
            "fax_number": "225-218-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064016",
            "telephone_number": "225-218-0703",
            "fax_number": "225-218-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON MEDICAL CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "225-218-0703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Expressions Speech and Hearing Services,LLC
• Divine Medical Transportation LLC
• Divine Touch Sitting Service LLC
• Divinity Healthcare Clinic
• Natalie Dix
• Dixon Transportation LC
• Barrett Andrew Dixon, FNP-C
• Deasia Dixon
• Debbie Traylor Dixon, MD
• Demetrice Hughes Dixon, RSW

• All providers in Baton Rouge, LA
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.