DAVID L NIEMAN PA-C NPI 1760568869

NPI Information

NPI: 1760568869
Provider Name: DAVID L NIEMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
107 DILWORTH ST
GLENDIVE, MT
ZIP 59330
Phone: (406) 345-8935
Get Directions

David L Nieman, PA-C is a medical physician assistant in Glendive, MT with 27 years of experience. David L Nieman, PA-C NPI is 1760568869. 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:

107 DILWORTH ST
GLENDIVE, MT
ZIP 59330-053
Phone: (406) 345-8935
Fax: (406) 345-8908

The NPI 1760568869 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 10/31/2006 and was last updated on 2/20/2024.

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	363AM0700X	Physician Assistant	Medical	PA10004978	WASHINGTON	No
2	363AM0700X	Physician Assistant	Medical		MONTANA	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	0207865	OTHER	WASHINGTON	L&I
2	8941215	OTHER	WASHINGTON	L&I CVC
3	8500225	MEDICAID	WASHINGTON
4	9947NI	OTHER	WASHINGTON	REGENCE RIDER

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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