Individual provider Active NPI

Daniel Nixon, MD

  • Hematology & Oncology Physician
  • Goodyear, AZ
National Provider Identifier
1306880331
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
41609 Issued in AZ
Practice address
14200 W Fillmore St
Goodyear, AZ 85338-3005
Phone
(623) 207-3372
Fax
(623) 207-3358
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 17188 SC
Hematology & Oncology Physician 207RH0003X 41609 AZ Primary

Addresses

Primary practice location

14200 W Fillmore St
Goodyear, AZ 85338-3005

Mailing address

14200 W Fillmore St
Goodyear, AZ 85338-3005
Phone (623) 207-3372

Other identifiers 1

IdentifierTypeStateIssuer
GP4232MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20131216000762 GA Practitioner - Medical Oncology 9931130341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41609AZMDHematology & Oncology Physician
17188SCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group of Georgia LLC CurrentSince Dec 1, 2013 Accepting new patients
Cancer Control Center of Charleston,LLC Hematology & Oncology PastSince Aug 1, 2005 Accepting new patients
Western Regional Medical Center Inc. Hospital Pharmacy Past Accepting new patients
City of Hope Medical Group of Arizona LLC Hematology & Oncology PastSince Nov 1, 2008 Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1306880331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 W FILLMORE ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383005",
            "telephone_number": "623-207-3372",
            "fax_number": "623-207-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 W FILLMORE ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383005",
            "telephone_number": "623-207-3372",
            "fax_number": "623-207-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "17188",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "41609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4232",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.