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EDNA J DYCOCO MD NPI 1629153119


NPI Information

NPI: 1629153119
Provider Name: EDNA J DYCOCO, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
64979 OLD TWENTY ON ROAD
CAMBRIDGE, OH
ZIP 43725
Phone: (740) 432-6628
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Edna J Dycoco, MD is a pediatrics in Cambridge, OH. 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. Edna J Dycoco, MD NPI is 1629153119. 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:

64979 OLD TWENTY ON ROAD
CAMBRIDGE, OH
ZIP 43725-619
Phone: (740) 432-6628
Fax: (740) 432-5531

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/8/2007.


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
1208000000XPediatrics129969NEW YORKNo
2208000000XPediatrics35056228OHIOYes

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
11001723OTHERAETNA
2000000153673OTHERANTHEM
3C0006228OTHERHEALTH PLAN
40803885MEDICAIDOHIO
51200145OTHERUNITED HEALTHCARE

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

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