ANDREA DIMOND M.D. NPI 1942367289

NPI Information

NPI: 1942367289
Provider Name: ANDREA DIMOND, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 590-1000
Get Directions

Andrea Dimond, M.D. is a pediatrics in Philadelphia, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Andrea Dimond, M.D. NPI is 1942367289. 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:

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-1000

The NPI 1942367289 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 1/3/2007 and was last updated on 8/1/2023.

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	208000000X	Pediatrics		MD480209	PENNSYLVANIA	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	MD480209	OTHER	PENNSYLVANIA	PENNSYLVANIA STATE BOARD OF MEDICINE
2	0101250736	OTHER	VIRGINIA	COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE
3	1354635	MEDICAID	LOUISIANA
4	239154	OTHER	MASSACHUSETTS	MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE
5	MD480209	OTHER	PENNSYLVANIA	PENNSYLVANIA BOARD OF MEDICINE
6	A93959	OTHER	CALIFORNIA	PROVIDER LISCENSE
7	MD.202481	OTHER	LOUISIANA	LOUISIANA STATE MEDICAL BOARD PHYSICIAN LICENSE

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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