Jerry W. Dixon, M.D., P.A.

LBN: Jerry W. Dixon, M.D., P.A.
Jerry W. Dixon, M.D., P.A. is an health care organization with primary practice located at 3 Medical Park Dr Suite 201, Benton AR 72015-3728. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Jerry W. Dixon, M.D., P.A. can be contacted via phone (501) 778-3361, or through Dixon, Jerry W. via phone (501) 778-3361.

Contact Information

Primary practice address
3 Medical Park Dr Suite 201 Benton AR 72015-3728
Phone: (501) 778-3361
Fax: (501) 778-3135
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Jerry W. Doctor of Medicine (MD)
Phone: (501) 778-3361

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E0176 Arkansas

Profile Details

NPI number 1871627737
LBN Legal business name Jerry W. Dixon, M.D., P.A.
DBA Doing business as
Authorized official Dixon, Jerry W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 28th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871627737 NPPES
Arkansas MEDICAID 125732001

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