Dixon Anesthesia Associated, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DIXON ANESTHESIA ASSOCIATED, LLC

Practice address

403 E 1St St
Dixon, IL 61021-3116

Phone

(815) 288-5531

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

W. Stephen Minore, MD

Title

Owner

Phone

(815) 282-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1437425279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 HARLEM RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611112754",
            "telephone_number": "815-282-3700",
            "fax_number": "815-877-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-288-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON ANESTHESIA ASSOCIATED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "MINORE",
        "authorized_official_first_name": "W. STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-282-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin C. Diers, PTA
• Beth Joy Dieterle
• Sara Christine Digrazia, MS, RDN
• David E Dillon, DDS
• Robert Lovus Dillon II
• Dixon Community Fire Protection District
• Dixon Dialysis Center, LLC
• Dixon Family Dentistry, LLC
• Dixon Healthcare & Rehabilitation Center
• Dixon Manor, LLC

• Anesthesiology Physician in Dixon, IL
• Providers in Dixon, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.