Robert Lawson Dixon-Gordon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

149340 Issued in NY

Practice address

2300 Buffalo Rd BLDG 800
Rochester, NY 14624-1360

Phone

(585) 368-6370

Fax

(585) 368-6371

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1760421713
  NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1710075601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 800",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241360",
            "telephone_number": "585-368-6370",
            "fax_number": "585-368-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD BLDG 800",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241360",
            "telephone_number": "585-368-6370",
            "fax_number": "585-368-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-GORDON",
        "first_name": "ROBERT",
        "middle_name": "LAWSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "149340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01350150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Vincent Divito, RPAC
• Stephen Tyler Divito, D.C.
• Gabrielle Dix, PA
• Malcolm Lamar Dix, M.D., M.S
• Tyler Dix
• Anastacia L. Dixon
• Jasmine Dixon, LPN
• Natalie Masco Dixon, DNP, RN, FNP-C
• Robin Danielle Dixon
• Shantell Gabriell Dixon

• Internal Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.