Diane Marie Hentz in Fort Wayne - Procedural Dermatology
Diane Marie Hentz - NPI 1235237074
Diane Marie Hentz is a Procedural Dermatology in Fort Wayne, Indiana. Diane Marie Hentz practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Diane Marie Hentz is 1235237074. The last update date is 2023-03-07.
Diane Marie Hentz's current location address is 5750 Falls Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604368000 and fax number 2604325587. The mailing address for Diane Marie Hentz is 5750 Falls Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Marie Hentz |
|---|---|
| Address | 5750 Falls Dr, Fort Wayne, Indiana |
| Phone Number | 2604368000 |
| Fax Number | 2604325587 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1235237074 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 5750 Falls Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468047147 |
| Phone Number | 2604368000 |
| Fax Number | 2604325587 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 01038843A |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00074720 | MEDICARE RAILROAD | ||
| 01038843B | IN | CSR LICENSE NUMBER | |
| 1390 | PHP | ||
| 308077 | BCBS | ||
| 4045038 | AETNA | ||
| 100359250 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Diane Marie Hentz by the Centers for Medicare & Medicaid Services?
The Diane Marie Hentz has been issued the NPI (National Provider Identifier) 1235237074. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Diane Marie Hentz's facilities are geographically located?
The facilities of Diane Marie Hentz are physically situated at the following location: 5750 Falls Dr, Fort Wayne, IN, 468047147.
What is the Diane Marie Hentz's area of specialization and corresponding taxonomy classification?
The Diane Marie Hentz's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1235237074 to Diane Marie Hentz?
The Diane Marie Hentz received its 1235237074 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information pertaining to Diane Marie Hentz most recently updated or revised?
The details related to Diane Marie Hentz, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.