MEDICARE: DR. JOHN E DIXON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20089	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20311	OTHER	IA	WELLMARK BC/BS
2	018411	OTHER		HEALTH ALLIANCE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	IA0114	OTHER		JOHN DEERE HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	18988	OTHER		MIDLANDS CHOICE
7	27075	OTHER		IOWA HEALTH SOLUTIONS

General Provider Information

NPI Number	:	1407806730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN E DIXON M.D.

Provider Business Mailing Address
First Line	:	1429 3RD ST
Second Line	:
City	:	CAMANCHE
State	:	IA
Zip	:	52730-2003
Country	:	US
Telephone Number	:	563-259-8015
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 3RD ST
Second Line	:
City	:	CAMANCHE
State	:	IA
Zip	:	52730-2003
Country	:	US
Telephone Number	:	563-259-8015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	04/14/2020

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Directions to “ DR. JOHN E DIXON M.D.” Practice Location

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