ROBERT W DIXON JR MD PC NPI 1023284304

NPI Information

  • NPI: 1023284304
  • Provider Name: ROBERT W DIXON JR MD PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1310 WISCONSIN AVE
    SUITE 200
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 846-2640

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NPI Details

ROBERT W DIXON JR MD PC is a family medicine in Grand Haven, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROBERT W DIXON JR MD PC NPI is 1023284304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1310 WISCONSIN AVE
SUITE 200
GRAND HAVEN, MI
ZIP 49417-472
Phone: (616) 846-2640
Fax: (616) 846-3110

The provider's authorized official is Robert W Dixon .
The authorized official title is Owner and has the following contact phone number (616) 846-2640.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 10/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301035255MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11363656MEDICAIDMICHIGAN
2B46021MEDICARE UPINMICHIGAN
30700311MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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