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DIEGMANN AND HENDERSON OBGYN PC NPI 1649367228


NPI Information

NPI: 1649367228
Provider Name: DIEGMANN AND HENDERSON OBGYN PC

Former Legal Business Name: DIEGMANN OBGYN PC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 01D1061923

Address:
150 S INGLESIDE ST
STE 2
FAIRHOPE, AL
ZIP 36532
Phone: (251) 990-6550
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DIEGMANN AND HENDERSON OBGYN PC is an obstetrics gynecology in Fairhope, AL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DIEGMANN AND HENDERSON OBGYN PC NPI is 1649367228. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Diegmann Obgyn Pc.

The provider's business location address is:

150 S INGLESIDE ST
STE 2
FAIRHOPE, AL
ZIP 36532-803
Phone: (251) 990-6550
Fax: (251) 990-6552

The provider's authorized official is Bret T Henderson .
The authorized official title is Credentialing Specialist and has the following contact phone number (251) 990-6550.

The CLIA number assigned to this NPI record is 01D1061923 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2006 and was last updated on 2/24/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology000001748ALABAMAYes

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
1L055MEDICARE PINALABAMA
2529930680MEDICAIDALABAMA

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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