Derek S Dyess in Jackson - Diagnostic Radiology
Derek S Dyess - NPI 1184621021
Derek S Dyess is a Diagnostic Radiology in Jackson, Mississippi. Derek S Dyess practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Derek S Dyess is 1184621021. The last update date is 2023-08-24.
Derek S Dyess's current location address is 1860 Chadwick Dr, Jackson, Mississippi. You can contact this provider via phone number 6013736441 and fax number 6013735715. The mailing address for Derek S Dyess is 1860 Chadwick Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek S Dyess |
|---|---|
| Address | 1860 Chadwick Dr, Jackson, Mississippi |
| Phone Number | 6013736441 |
| Fax Number | 6013735715 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184621021 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2023-08-24 |
Provider Mailing Address Detail
| Address | 1860 Chadwick Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392043463 |
| Phone Number | 6013736441 |
| Fax Number | 6013735715 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 329611 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7804294 | MS | -- | |
| P00122992 | MS | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Derek S Dyess by the Centers for Medicare & Medicaid Services (CMS)?
The Derek S Dyess has been assigned the NPI (National Provider Identifier) 1184621021. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Derek S Dyess is physically located?
The Derek S Dyess is situated at the following address: 1860 Chadwick Dr, Jackson, MS 392043463.
What is Derek S Dyess's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Derek S Dyess is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did Derek S Dyess receive its 1184621021 assignment from the Centers for Medicare & Medicaid Services?
The Derek S Dyess was assigned its 1184621021 on 2005-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Derek S Dyess, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Derek S Dyess, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-24.
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