DAYTON WILLIAM DABERKOW MD NPI 1497776413

NPI Information

NPI: 1497776413
Provider Name: DAYTON WILLIAM DABERKOW, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: BATON ROUGE CLINIC, A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
1990 INDUSTRIAL BLVD
HOUMA, LA
ZIP 70363
Phone: (985) 868-9300
Get Directions

Dayton William Daberkow, MD is a cardiovascular disease internal medicine in Houma, LA with 34 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Dayton William Daberkow, MD NPI is 1497776413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:1990

The provider's business location address is:

1990 INDUSTRIAL BLVD
HOUMA, LA
ZIP 70363-055
Phone: (985) 868-9300
Fax: (985) 851-0053

The NPI 1497776413 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 7/23/2006 and was last updated on 8/4/2017.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	20829	LOUISIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1653861	MEDICAID	LOUISIANA
2	F96554	MEDICARE UPIN	LOUISIANA
3	5U9527627	MEDICARE PIN	LOUISIANA
4	5U952	MEDICARE PIN	LOUISIANA

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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