DALE E DERICK M.D. NPI 1750387643

NPI Information

NPI: 1750387643
Provider Name: DALE E DERICK, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
5300 HARROUN RD
SUITE 304
SYLVANIA, OH
ZIP 43560
Phone: (419) 824-1100
Get Directions

Dale E Derick, M.D. is an obstetrics gynecology in Sylvania, OH. 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. Dale E Derick, M.D. NPI is 1750387643. 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:

5300 HARROUN RD
SUITE 304
SYLVANIA, OH
ZIP 43560-182
Phone: (419) 824-1100
Fax: (419) 824-1771

The enumeration date for this NPI number is 6/24/2005 and was last updated on 3/18/2014.

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	207V00000X	Obstetrics & Gynecology		35044704	OHIO	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	Other Provider Identifier Issuer
1	344428256	OTHER	CALIFORNIA	BEECH STREET
2	0458802	MEDICAID	OHIO
3	000000142525	OTHER	OHIO	ANTHEM
4	344428256	OTHER	OHIO	EMERALD
5	2974411950-006	OTHER	OHIO	MEDICAL MUTUAL
6	4002382	OTHER	OHIO	AETNA
7	8081472	OTHER	OHIO	CIGNA
8	PH00240649	OTHER	OHIO	NATIONWIDE
9	A79697	MEDICARE UPIN	OHIO
10	DE7264031	MEDICARE PIN	OHIO
11	142491	OTHER	OHIO	CARE CHOICES
12	4826635	MEDICAID	MICHIGAN
13	7331931	MEDICARE PIN	OHIO
14	000000385212	OTHER	OHIO	ANTHEM COMMERICAL
15	0000004002383	OTHER	OHIO	ANTHEM MEDICAID
16	142491	OTHER	MICHIGAN	PRIORITY HEALTH

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

NPI Synchronization or Removal

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