Mr Michael Douglas Dixon, CRNA | |
129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015-7055 | |
(702) 564-4440 | |
Not Available |
Full Name | Mr Michael Douglas Dixon |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 129 W Lake Mead Pkwy, Henderson, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1285869669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 703985 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024183179 (Virginia) | Primary |
Entity Name | Anesthesia Services Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659670453 PECOS PAC ID: 6901083781 Enrollment ID: O20110602000753 |
Entity Name | Ams National Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Mailing Address | Practice Location Address |
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Mr Michael Douglas Dixon, CRNA 129 W. Lake Mead Parkway, Suite B-18, Henderson, NV 89015 Ph: (702) 564-4440 | Mr Michael Douglas Dixon, CRNA 129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015-7055 Ph: (702) 564-4440 |
Jaime Parke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Akimi S Mcknight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Natalie J Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Heather Wiley Suescun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Matthew Lee Rigby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 | |
Ms. Michelle Debellis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10120 S Eastern Ave, Ste 200, Henderson, NV 89052 Phone: 702-487-6880 Fax: 702-473-5455 |