Derek Lee Fimmen in Cape Girardeau - Diagnostic Radiology
Derek Lee Fimmen - NPI 1952524449
Derek Lee Fimmen is a Diagnostic Radiology in Cape Girardeau, Missouri. Derek Lee Fimmen practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Derek Lee Fimmen is 1952524449. The last update date is 2021-04-29.
Derek Lee Fimmen's current location address is 70 Doctor's Park, Cape Girardeau, Missouri. You can contact this provider via phone number 5733346071 and fax number 5733344739. The mailing address for Derek Lee Fimmen is 70 Doctor's Park, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Lee Fimmen |
|---|---|
| Address | 70 Doctor's Park, Cape Girardeau, Missouri |
| Phone Number | 5733346071 |
| Fax Number | 5733344739 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952524449 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2021-04-29 |
Provider Mailing Address Detail
| Address | 70 Doctor's Park |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 63703 |
| Phone Number | 5733346071 |
| Fax Number | 5733344739 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 2008019694 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 609330002 | IL | MEDICARE | |
| 609080002 | IL | MEDICARE | |
| 36116382 | IL | -- | |
| P00827959 | IL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Derek Lee Fimmen by the Centers for Medicare & Medicaid Services?
The Derek Lee Fimmen has been assigned the NPI (National Provider Identifier) 1952524449. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Derek Lee Fimmen?
The Derek Lee Fimmen is situated at 70 Doctor'S Park, in the city of Cape Girardeau, state of MO, with the zip code 63703.
What is the Derek Lee Fimmen's specialty and taxonomy code?
The Derek Lee Fimmen's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952524449 to Derek Lee Fimmen?
The Derek Lee Fimmen received its 1952524449 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
When was the information regarding Derek Lee Fimmen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Derek Lee Fimmen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-29.