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DEBORAH D DEMICCO M.D. NPI 1811978885


NPI Information

NPI: 1811978885
Provider Name: DEBORAH D DEMICCO, M.D.
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

Address:
2001 CRYSTAL SPRING AVE SW
SUITE 301
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7165
Get Directions

Deborah D Demicco, M.D. is an infectious disease internal medicine in Roanoke, VA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. Deborah D Demicco, M.D. NPI is 1811978885. 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:

2001 CRYSTAL SPRING AVE SW
SUITE 301
ROANOKE, VA
ZIP 24014-462
Phone: (540) 981-7165
Fax: (540) 983-1133

The enumeration date for this NPI number is 11/8/2005 and was last updated on 8/11/2011.


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
1207RI0200XInternal MedicineInfectious Disease0101-039288VIRGINIAYes

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
1000935C19MEDICARE PINVIRGINIA
25886112MEDICAIDVIRGINIA
3440000030MEDICARE PINVIRGINIA
4B59713MEDICARE UPINVIRGINIA
56027156MEDICAIDVIRGINIA

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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