Thomas P Dykstra in Fort Wayne - Emergency Medicine
Thomas P Dykstra - NPI 1366437410
Thomas P Dykstra is a Emergency Medicine in Fort Wayne, Indiana. Thomas P Dykstra practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Thomas P Dykstra is 1366437410. The last update date is 2013-08-07.
Thomas P Dykstra's current location address is 3640 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604824440 and fax number 2604824442. The mailing address for Thomas P Dykstra is 3640 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas P Dykstra |
|---|---|
| Address | 3640 New Vision Dr, Fort Wayne, Indiana |
| Phone Number | 2604824440 |
| Fax Number | 2604824442 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366437410 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2013-08-07 |
Provider Mailing Address Detail
| Address | 3640 New Vision Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451717 |
| Phone Number | 2604824440 |
| Fax Number | 2604824442 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 01038525A |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82528 | IN | ANTHEM | |
| 4849 | MPLAN | ||
| 200033350 | IN | -- | |
| 2517940 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas P Dykstra by the Centers for Medicare & Medicaid Services?
The Thomas P Dykstra has been issued the NPI (National Provider Identifier) 1366437410, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Thomas P Dykstra's facilities are situated?
The facilities of Thomas P Dykstra are physically located at the following address: 3640 New Vision Dr, Fort Wayne, IN, 468451717.
What is the area of specialization for Thomas P Dykstra, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas P Dykstra is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.
When did Thomas P Dykstra receive its 1366437410 assignment?
The Thomas P Dykstra was assigned its 1366437410 on 2005-09-14, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Thomas P Dykstra most recently updated or revised?
The details related to Thomas P Dykstra, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY