John Mark Dimichele
M.D. | Pediatrics | Male
John Mark Dimichele, M.D. is a Elizabeth City, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Mark Dimichele is
1141 N Road St, Elizabeth City, North Carolina - 27909-3354. He can be contacted on phone at
252-384-2590 and fax number 252-384-2589.
John Mark Dimichele is a sole proprietor of his business.
NPI number (Unique professional ID) for John Mark Dimichele is
1871621680 which was assigned by NPPES on 01 Mar, 2007 and it was last updated on 03 Nov, 2022.
John Mark Dimichele license number is
2015-02134 for Pediatrics (208000000X) in North Carolina.
John Mark Dimichele is a pediatrician who 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.
Complete Profile:
John Mark Dimichele basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John Mark Dimichele |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
John Mark Dimichele address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1141 N Road St
Elizabeth City, NC, 27909-3354
United States |
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| Phone Number : | 252-384-2590 |
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| Fax Number : | 252-384-2589 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871621680 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Mar, 2007 |
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| Last Updated On : | 03 Nov, 2022 |
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Medicare Participation:
John Mark Dimichele participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5092011353 |
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| Medicare Enrollment ID : | I20160311001757 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Mcgill University, Faculty Of Medicine |
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| Graduation Year : | 1992 |
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| Accepts Medicare? | Yes. John Mark Dimichele accepts medicare insurance. |
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Group Practice Association:
John Mark Dimichele is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which John Mark Dimichele is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Albemarle Physician Services - Sentara Inc | 8729139852 | 46 | 1141 N Rd St
Elizabeth City, NC - 279093354 | Yes |
| Albemarle Physician Services - Sentara Inc | 8729139852 | 46 | 446 Caratoke Hwy
Moyock, NC - 279588672
Ph: 2524351275 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Mark Dimichele are as mentioned. Primary taxonomy code for John Mark Dimichele, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 0420009297 | VT |
| 208000000X | Pediatrics | Yes | 2015-02134 | NC |
Legacy Identifiers:
Other legacy medical identifiers of John Mark Dimichele such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 28911 | Other (non-Medicare) | VT | BLUE CROSS BLUE SHIELD |
| ovn1356 | MEDICAID | VT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1141 N Road St
Elizabeth City, NC, 27909-3354
United States |
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| Phone Number : | 252-384-2590 |
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| Fax Number : | 252-384-2589 |
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Business Location:
Patients can refer following map for directions to
John Mark Dimichele practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.