Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Reynaldo Dantes Dizon, PA

Individual provider Physician Assistant · NPI 1538146766

Mr. Reynaldo Dantes Dizon, PA is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2004, 22 years ago. Practices with Alice Peck Day Memorial Hospital, a 132-clinician group and accepts Medicare assignment. Licensed in New Hampshire, Washington and Wisconsin.

Years since qualifying
22
Licensed in
NH, WA, WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

One Medical Center Dr Dhmc Dept OF Orthopaedics
Lebanon, NH 03756-0001
Phone: (603) 650-5133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0903 (NH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10004702 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2551-023 (WI)

Record details

NPI number1538146766
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESMay 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Alice Peck Day Memorial Hospital — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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