National Provider Identifier Database

ETOSHA D DIXON, MD – NPI #1063473551
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

ETOSHA D DIXON, MD
8800 WALTHER BLVD
BALTIMORE, MD21234-9001
Phone: 410-882-3240
Fax: 410-661-5093
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for ETOSHA D DIXON

NPI Number 1063473551
Credentials MD
Entity Individual
Enumeration date 04/01/2006
Last updated 04/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MD License #: D61785
  • WV License #: 22045
  • MD Medicaid: 005559001
  • MD Medicaid: 805701000
  • Other: 769698 BCBS
  • Other: 89660801 BCBS MD
  • Other: T016-0057 BCBS-DC
  • Other: 9676-0039 CAREFIRST BCBS OF DC
  • Other: 093NER-896608-01 CAREFIRST BCBS OF MD
  • Other: 093NSE-896608-01 CAREFIRST BCBS OF MD
  • Other: 0056 CAREFIRST DC
  • Other: 0123302 EVERCARE
  • Other: 0442052 EVERCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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