Russell Dixon, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

002215 Issued in IA

Practice address

5950 University Ave Ste 105
West Des Moines, IA 50266-7756

Phone

(515) 875-9070

Fax

(515) 875-9071

NPI assigned

Jul 11, 2011

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wapello Emergency Group PC

  • Emergency Medicine Physician
  • Ottumwa, IA
  • NPI 1124338926
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1992093066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525016427",
            "telephone_number": "641-684-2402",
            "fax_number": "641-684-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667756",
            "telephone_number": "515-875-9070",
            "fax_number": "515-875-9071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "52501",
            "country_code": "US",
            "telephone_number": "641-684-2402",
            "fax_number": "641-684-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "RUSSELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "002215",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "002215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russelldixon@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5950 University Ave Ste 105",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502667756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Anne Dillman, PA-C
• Megan Elizabeth Dillon, MS, CCC-SLP
• Sophia Dimonte
• Courtney Carole Dinsdale
• Lisa Louise Dittmer, LISW
• Robyn Ranae Dlouhy, OTR/L
• Thuyvu DO, PHARMD
• Van Thanh DO
• Leslie J Dobbs, PT
• Kara Dobelis, ARNP

• Surgical Physician Assistant in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Surgical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.