Provider Demographics
NPI:1932185956
Name:MCKAY, MICHAEL DIXON (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DIXON
Last Name:MCKAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2417 ATRIUM DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6673
Mailing Address - Country:US
Mailing Address - Phone:919-791-2040
Mailing Address - Fax:919-791-2041
Practice Address - Street 1:2417 ATRIUM DR
Practice Address - Street 2:SUITE 150
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6673
Practice Address - Country:US
Practice Address - Phone:919-791-2040
Practice Address - Fax:919-791-2041
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31333207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7813265OtherCIGNA
NC56962OtherBCBS
NC110204543OtherRAILROAD MEDIARE
NC2950432OtherUNITED
NC8956962Medicaid
NC30626OtherPARTNERS
NC289324OtherMAMSI
NC4221557OtherAETNA
NC95075OtherMEDCOST
NC208711EMedicare ID - Type Unspecified
NC8956962Medicaid