DR. TIMOTHY SEAN DIESEL DOM PA-C NPI 1619056553

NPI Information

NPI: 1619056553
Provider Name: DR. TIMOTHY SEAN DIESEL, DOM, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1240 PENNSYLVANIA ST NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 291-2040
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DR. Timothy Sean Diesel, DOM, PA-C is a medical physician assistant in Albuquerque, NM. DR. Timothy Sean Diesel, DOM, PA-C NPI is 1619056553. 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:

1240 PENNSYLVANIA ST NE
ALBUQUERQUE, NM
ZIP 87110-441
Phone: (505) 291-2040

The NPI 1619056553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 12/6/2016.

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	171100000X	Acupuncturist		765	NEW MEXICO	No
2	363AM0700X	Physician Assistant	Medical	PA2009-0010	NEW MEXICO	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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