JOHN N DIACONOU MD PS NPI 1821105164

NPI Information

NPI: 1821105164
Provider Name: JOHN N DIACONOU, MD PS
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
202 N DIVISION ST
STE 402
AUBURN, WA
ZIP 98001
Phone: (253) 833-8032
Get Directions

John N Diaconou, MD PS is a vascular surgery surgery in Auburn, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. John N Diaconou, MD PS NPI is 1821105164. 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:

202 N DIVISION ST
STE 402
AUBURN, WA
ZIP 98001-939
Phone: (253) 833-8032
Fax: (253) 833-8081

The enumeration date for this NPI number is 8/24/2006 and was last updated on 3/1/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	MD00018742	WASHINGTON	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	0265721	OTHER	WASHINGTON	STATE L&I
2	CH9408	OTHER	WASHINGTON	RR MEDICARE GROUP #
3	1779008	MEDICAID	WASHINGTON
4	AB25051	MEDICARE PIN	WASHINGTON
5	G8874750	MEDICARE PIN
6	0152713	OTHER	WASHINGTON	LABOR AND INDUSTRIES
7	0244706	OTHER	WASHINGTON	STATE L&I
8	230000055	OTHER	WASHINGTON	RAILROAD MEDICARE PIN
9	A15027	MEDICARE UPIN	WASHINGTON
10	G8894590	MEDICARE PIN

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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