James Lyle Derickson in Nogales - Family Medicine
James Lyle Derickson - NPI 1023035524
James Lyle Derickson is a Family Medicine in Nogales, Arizona. James Lyle Derickson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for James Lyle Derickson is 1023035524. The last update date is 2018-11-28.
James Lyle Derickson's current location address is 825 N Grand Ave Ste 100, Nogales, Arizona. You can contact this provider via phone number 5207612133 and fax number 5202812335. The mailing address for James Lyle Derickson is 825 N Grand Ave Ste 100, Nogales, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Lyle Derickson |
|---|---|
| Address | 825 N Grand Ave Ste 100, Nogales, Arizona |
| Phone Number | 5207612133 |
| Fax Number | 5202812335 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023035524 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2018-11-28 |
Provider Mailing Address Detail
| Address | 825 N Grand Ave Ste 100 |
|---|---|
| City | Nogales |
| State | Arizona (AZ) |
| Post Code | 856211061 |
| Phone Number | 5207612133 |
| Fax Number | 5202812335 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 37067 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 266946 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James Lyle Derickson by the Centers for Medicare & Medicaid Services?
The James Lyle Derickson has been issued the NPI (National Provider Identifier) 1023035524, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the James Lyle Derickson's physical address?
The James Lyle Derickson is physically located at 825 N Grand Ave Ste 100, in the city of Nogales, AZ, with the postal code 856211061.
What is the James Lyle Derickson's area of specialization and corresponding taxonomy classification?
The James Lyle Derickson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1023035524 to James Lyle Derickson?
The Centers for Medicare & Medicaid Services assigned the 1023035524 to James Lyle Derickson on 2006-07-17.
When was the James Lyle Derickson's information last updated?
The James Lyle Derickson's information was last updated on 2018-11-28.