Provider Type Icon

DR. GREGG JEFFRY DIMMICK MD NPI 1013970680


NPI Information

NPI: 1013970680
Provider Name: DR. GREGG JEFFRY DIMMICK, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2100 REGIONAL MEDICAL DR
WHARTON, TX
ZIP 77488
Phone: (979) 532-1700
Get Directions

DR. Gregg Jeffry Dimmick, MD is a pediatrics in Wharton, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Gregg Jeffry Dimmick, MD NPI is 1013970680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2100 REGIONAL MEDICAL DR
WHARTON, TX
ZIP 77488-719
Phone: (979) 532-1700
Fax: (979) 532-6793

The enumeration date for this NPI number is 4/6/2006 and was last updated on 10/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsF0169TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18DE526OTHERTEXASBC/BS #
2TXB150494MEDICARE PINTEXAS
3820622OTHERTEXASBC/BS TX #
4820622MEDICARE ID-TYPE UNSPECIFIEDTEXAS
5124957507MEDICAIDTEXAS
6370002795OTHERTEXASRAILROAD GBA - RAILROAD MEDICARE
7D48227MEDICARE UPINTEXAS
8124957502MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.