Peter S. Dixon, M.D, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

33140 Issued in CT

Legal business name

PETER S. DIXON, M.D, P.C.

Practice address

192 Westbrook Rd
Essex, CT 06426-1511

Phone

(860) 767-1200

Fax

(860) 767-3031

NPI assigned

Jul 26, 2006

Last updated

May 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter S Dixon, M.D.NPI 1578750808

Title

Owner

Phone

(860) 767-1200

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14708/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Stanton Dixon, M.D.

  • Internal Medicine Physician
  • Essex, CT
  • NPI 1578750808
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1417970708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 WESTBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261511",
            "telephone_number": "860-767-1200",
            "fax_number": "860-767-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 WESTBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261511",
            "telephone_number": "860-767-1200",
            "fax_number": "860-767-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER S. DIXON, M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-767-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "33140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "050463",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4407476",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "830005333",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "010033140CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0V1563",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P500468",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001331404",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1944670005",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernanda Hubner Page, PHARMACY THECNICIAN
• Eric Parnes, PT
• Pathways Center for Learning & Behavioral Health, LLC
• Peak Performance, Inc.
• Portia Pendleton, LMSW
• Ellen H. Pfarr, LCSW
• Kristi Poehlmann, APRN
• Anne Procyk, N.D.
• Marybeth Pytlik Ellison, MD
• Theresa M Ramponi, APRN

• Specialist in Essex, CT
• Providers in Essex, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.