Douglas R Diemer in Portage - Physician Assistant
Douglas R Diemer - NPI 1518037878
Douglas R Diemer is a Physician Assistant in Portage, Michigan. Douglas R Diemer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Douglas R Diemer is 1518037878. The last update date is 2022-08-30.
Douglas R Diemer's current location address is 3200 W Centre Ave, Portage, Michigan. You can contact this provider via phone number 2693240799 and fax number 2693248013. The mailing address for Douglas R Diemer is 3200 W Centre Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas R Diemer |
|---|---|
| Address | 3200 W Centre Ave, Portage, Michigan |
| Phone Number | 2693240799 |
| Fax Number | 2693248013 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1518037878 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2022-08-30 |
Provider Mailing Address Detail
| Address | 3200 W Centre Ave |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490244889 |
| Phone Number | 2693240799 |
| Fax Number | 2693248013 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004477 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1151100074 | MI | BCBS | |
| 4179846 | MI | -- | |
| 2953900670 | MI | BLUE CROSS BLUE SHIELD | |
| 4173074 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas R Diemer by the Centers for Medicare & Medicaid Services?
The Douglas R Diemer has been assigned the NPI (National Provider Identifier) 1518037878 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Douglas R Diemer?
The Douglas R Diemer is situated at 3200 W Centre Ave, in the city of Portage, state of MI, with the zip code 490244889.
What is the area of specialization for Douglas R Diemer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Douglas R Diemer is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Douglas R Diemer receive the assignment of its 1518037878 from the Centers for Medicare & Medicaid Services?
The Douglas R Diemer was issued its 1518037878 by the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details related to Douglas R Diemer most recently updated or revised?
The information pertaining to Douglas R Diemer, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-30.
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