CHANDLER DIEDRICH PA-C NPI 1467917450

NPI Information

NPI: 1467917450
Provider Name: CHANDLER DIEDRICH, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC

PECOS Registration: Yes

Address:
560 S LAKEWOOD DR STE 101
BRANDON, FL
ZIP 33511
Phone: (813) 978-9700
Get Directions

Chandler Diedrich, PA-C is a surgical physician assistant in Brandon, FL with 6 years of experience. Chandler Diedrich, PA-C NPI is 1467917450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

560 S LAKEWOOD DR STE 101
BRANDON, FL
ZIP 33511-015
Phone: (813) 978-9700

The NPI 1467917450 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2019 and was last updated on 1/27/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA9111892	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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