William H Dixon, M.D
Individual provider Active NPI Family Medicine Physician · Quincy, IL
NPI 1740299759 · NPPES record last updated May 19, 2016
Key facts
- NPI
- 1740299759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-110615 (IL)
- Practice address
- 612 N 11TH St
Quincy, IL 62301-2662 - Phone
- (217) 224-9484
- Fax
- (217) 224-7950
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 33
Hospital & facility affiliations 9
Owned or controlled facilities with NPI records 22
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Scotland County Memorial Hospital
Board of Trustees of Southern Illinois University
Practice addresses (Care Compare)
450 E Sigler Ave
Memphis, MO 63555-1726
Phone (660) 465-2828
520 N 4TH St
Springfield, IL 62702-5238
Phone (217) 545-8000
612 N 11TH St
Quincy, IL 62301-2662
Phone (217) 224-9484
Hospital & facility affiliations
- Blessing Home Care
- Blessing Hospital
- Scotland County Hospital
- Sarah D Culbertson Memorial Hospital
- Mount Sterling Health and Rehab Center
- Rushville Nursing & Rehab Ctr
- Timber Point Healthcare Center
- Scotland County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 21
| Facility | Type | Role | Since |
|---|---|---|---|
| Blessing Hospital |
Hospital | Corporate Director | Feb 1, 2025 |
| Blessing Inpatient Rehabilitation |
Hospital | Corporate Director | Feb 1, 2025 |
| Sunset Home |
Skilled nursing facility | Contracted Managing Employee Adp of the SNF |
Jun 1, 2023 Jan 24, 2025 |
| Golden Good Shepherd Home |
Skilled nursing facility | Corporate Director Operational/Managerial Control Adp of the SNF |
Jan 1, 2018 Jan 1, 2018 Nov 14, 2025 |
| Blessing Skilled Nursing Facility |
Skilled nursing facility | Corporate Director | Feb 1, 2025 |
| Prairie Village Healthcare Center Inc |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2015 Jan 1, 2015 |
| Timber Point Healthcare Center Inc |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Feb 1, 2016 Feb 1, 2016 |
| Rushville Nursing and Rehab Ctr |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2020 May 1, 2020 |
| Blessing Home Care |
Home health agency | Corporate Director | Feb 1, 2025 |
| Blessing Hospice |
Hospice | Corporate Director | Feb 1, 2025 |
| East Adams County Rural Health Clinic |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Health - 48TH |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Hospital |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Hospital |
Rural health clinic | Corporate Director | Apr 16, 2025 |
| Blessing Walk in Clinic |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Express Clinic |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Health Hannibal |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Health Palmyra |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Health Hamilton-Warsaw |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Employer Clinic |
Rural health clinic | Corporate Director | Feb 1, 2025 |
| Blessing Health Monroe City |
Rural health clinic | Corporate Director | Feb 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040908000198 | MO | Practitioner - Family Practice | 8426024837 | Reassigns benefits to 2 organizations |
| I20111007000618 | IL | Practitioner - Family Practice | 8426024837 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-110615 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Board of Trustees of Southern Illinois University | Current |
Accepting new patients | |
| Board of Trustees of Southern Illinois University | Family Medicine | Current |
Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current |
Accepting new patients |
| Siuphysicians & Surgeons, Inc. | Current | Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Scotland County Memorial Hospital | Current |
Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Family Medicine | Current |
Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Illinois, LLC | Family Medicine | Past | Accepting new patients |
| Scotland County Memorial Hosptial | Past | Accepting new patients | |
| Scotland County Memorial Hospital | Family Medicine | Past | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
612 N 11th St
Quincy, IL 62301
Phone (217) 224-9484
612 N 11th St
Ste B
Quincy, IL 62301
Phone (217) 224-9484
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
Interoperability endpoints
- williamdixon@siu.allscriptsdirect.net
- https://fhir.blessinghospital.com/R4/open-Prod
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2004010997 | MO | |
| Family Medicine Physician | 207Q00000X | 036-110615 | IL | Yes |
Addresses
Primary practice location
612 N 11TH St
Quincy, IL 62301-2662
Mailing address
612 N 11TH St
Quincy, IL 62301-2662
Phone (217) 224-9484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208833400 | Medicaid | MO |
Other providers in Quincy, IL
- Gina L. Dietrich
- Jenna Dietrich
- Shannon Marie Dietrich
- Betty Jo Dilley
- Jean A. Disseler
- Mary I Dobbins
- Kimberly Dochterman
- Christopher Doedtman
- Bonita Marie Doellman
- Mary Straub Doellman
All providers in Quincy, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.