JOHN DIMAGGIO (NPI# 1497720973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497720973 |
| Entity Type | Individual |
| Full Name | JOHN DIMAGGIO |
| Credential | DPM |
| Practice Address |
913 11th St Se Suite 2 Bandon OR 97411-9168 |
| Practice Telephone | 5413478283 |
| Practice Fax Number | 5413473632 |
| Mailing Telephone | 5413478283 |
| Mailing Fax Number | 5413473632 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00364 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BCBS OF OR | 840626000 | 01 |
| OR | 271038 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558894279 | John Charles Dimaggio Jr. | Student in an Organized Health Care Education/Training Program | 46 Marcy Ave Apt 3, Brooklyn, NY 11211-4428 | 2017-04-10 |
| 1568892172 | John Dimaggio | Chiropractor | 400 Sw Longview Blvd, Suite 160, Lees Summit, MO 64081-2102 | 2013-11-18 |
| Street Address |
913 11TH ST SE SUITE 2 |
| City | BANDON |
| State | OR |
| Zip Code | 97411-9168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740703156 | Jessica Juliano | Physical Medicine & Rehabilitation | 913 11th St Se, Bandon, OR 97411-9168 | 2017-07-18 |
| 1669695854 | Southwest Physical Therapy | Clinic/Center | 913 11th St Se, Suite 1, Bandon, OR 97411-9168 | 2007-04-10 |
| 1790856953 | Muthalib M Cassim | Surgery | 913 11th St Se, Bandon, OR 97411-9168 | 2006-11-10 |
| 1114035227 | Michael Hurston | Occupational Therapist | 913 11th St Se, Suite 1, Bandon, OR 97411-9168 | 2006-08-28 |
| 1457468225 | Tristan Proett | Physical Therapist | 913 11th St Se, Suite 1, Bandon, OR 97411-9168 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756340 | Carl John Moehring | Internal Medicine | 2840 Beach Loop Dr. Sw, Bandon, OR 97411 | 2015-12-28 |
| 1841692969 | Bandon Senior Living LLC | Assisted Living Facility | 1000 6th Ave West, Bandon, OR 97411 | 2014-09-19 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1063756401 | Bandon Coastal Dental, LLC | Clinic/Center | 1097 Baltimore Ave, Bandon, OR 97411 | 2012-11-26 |
| 1114205028 | James Ryan Surface | Dentist | 1275 Oregon Ave., Bandon, OR 97411 | 2011-07-26 |
| 1790083509 | William M. Soper, Dds | Preferred Provider Organization | 1275 Oregon Ave, Bandon, OR 97411 | 2011-03-02 |
| 1285860635 | Sharen C. Strong | Dentist | 155 Delaware Ave, Bandon, OR 97411 | 2009-05-29 |
| 1518158500 | Coos Eye Centers, Inc. | Optometrist | 1095 Alabama Avenue, Bandon, OR 97411 | 2007-08-06 |
| 1043432040 | Michael Brent Currie | Chiropractor | 55416 Melton Road, Bandon, OR 97411 | 2007-05-02 |
| 1619098167 | Susan Lynn Dimock | Social Worker | 1212 Alabama St, Suite 27, Bandon, OR 97411 | 2007-04-03 |
| Find all providers in zip 97411 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821129792 | Tri- City Podiatric Physicians & Surgeons Ltd | Podiatrist | 1450 Polaris Ln Sw, Bandon, OR 97411-8816 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154869659 | Mid-columbia Medical Center | Podiatrist | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2017-02-03 |
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1689991804 | Cassandra Bree Tomczak | Podiatrist | 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 | 2010-04-27 |
| 1326363839 | Kessa Mauras | Podiatrist | 1100 E. Marina Way, Suite 223, Hood River, OR 97031 | 2010-03-29 |
| 1598907537 | Joshua Johnson Boone | Podiatrist | 551 Lone Prine Blvd, The Dalles, OR 97058 | 2009-04-06 |
| 1699928168 | Kristy R Six | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1697 | 2008-10-28 |
| 1306093265 | Gilbert Alan Hice | Podiatrist | 953 Foots Creek Road, Gold Hill, OR 97525 | 2008-08-22 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN DIMAGGIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.