Dr. Etosha D Dixon
Family Doctor Family Doctor - Geriatric Medicine
4538 Edmondson Ave
Baltimore
, Maryland 21229-1506
Dr. Etosha D Dixon
Family Doctor Family Doctor - Geriatric Medicine
4538 Edmondson Ave
Baltimore
, Maryland 21229-1506
(410) 661-5093
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Etosha D Dixon
- 5525 Research Park Dr Fl 4
- Baltimore, MD
- Zip : 21228-4873
- Fax : (410) 661-5093
- Phone : (410) 882-3240
Second Address
- Dr. Etosha D Dixon
- 4538 Edmondson Ave
- Baltimore, MD
- Zip : 21229-1506
- Fax : (410) 362-1750
- Phone : (410) 328-2273
Reviews
FAQs
Where did Dr. Etosha D Dixon attend graduate school?
Where did Dr. Etosha D Dixon do her residency?
Where did Dr. Etosha D Dixon do her fellowship?
Is Dr. Etosha D Dixon board certified?
What type of doctor is Dr. Etosha D Dixon
In what state does Dr. Etosha D Dixon practice in?
Where is Dr. Etosha D Dixon ’s practice located?
What is Dr. Etosha D Dixon ’s gender?
Is Dr. Etosha D Dixon a sole practitioner?
Is Dr. Etosha D Dixon accepting new patients?
What languages does Dr. Etosha D Dixon speak?
Does Dr. Etosha D Dixon accept insurance?
Does Dr. Etosha D Dixon offers telemedicine?
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What is Dr. Etosha D Dixon ’s NPI number?
Does Dr. Etosha D Dixon have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 22045 | WV |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | D61785 | MD |
National Provider Identifier
| NPI | 1063473551 |
|---|---|
| Provider Name | Dr. Etosha D Dixon |
| First Address | Baltimore, MD 21228-4873 |
| Second Address | Baltimore, MD 21229-1506 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2006 |
| Last Update Date | 29/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005559001 | (05) | MD |
| 0056 | CAREFIRST DC (01) | |
| 0123302 | EVERCARE (01) | |
| 0442052 | EVERCARE (01) | |
| 093NER-896608-01 | CAREFIRST BCBS OF MD (01) | |
| 093NSE-896608-01 | CAREFIRST BCBS OF MD (01) | |
| 769698 | BCBS (01) | |
| 805701000 | (05) | MD |
| 89660801 | BCBS MD (01) | |
| 9676-0039 | CAREFIRST BCBS OF DC (01) | |
| I20692 | (02) | |
| T016-0057 | BCBS-DC (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.