| Mr Samuel Ervin Dixon, CRNA | |
|
1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | |
| (808) 433-4857 | |
| (808) 433-4857 |
| Full Name | Mr Samuel Ervin Dixon |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245219310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2479 (California) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN907 (Hawaii) | Secondary |
| Entity Name | Atlantis Medical Group Az Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740610039 PECOS PAC ID: 7214168368 Enrollment ID: O20140402002039 |
| Entity Name | Integrated Anesthesia Consultants Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144645656 PECOS PAC ID: 2264664549 Enrollment ID: O20140421001511 |
| Entity Name | Novaspine Pain Institute Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745263 PECOS PAC ID: 9931323359 Enrollment ID: O20140630000941 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Samuel Ervin Dixon, CRNA I Jarrett White Road, Tamc, Honolulu, HI 96859-7747 Ph: (808) 433-4857 | Mr Samuel Ervin Dixon, CRNA 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-4857 |
Kari L Rodden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-4130 | |
Patrick Ryan Lee Kadilak, DNP, NP-C, FNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5721 Fax: 808-433-5460 | |
David Trowbridge, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd Dept Of, Tripler Army Medical Center, HI 96859 Phone: 808-433-5074 | |
Jacob L Deeds, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-7699 | |
Natalie Richmeier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-4720 | |
Mr. James D. Maliszewskyj, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd Rm 6g804, Tripler Army Medical Center, HI 96859 Phone: 808-433-6451 |