Active NPIIndividual providerSole proprietor

John W Diefenderfer, DO

Family Medicine in Waterville, Maine

NPI Number1407236185
Practice location
149 North St, Waterville, ME 04901-4974
Fax
207-872-4341
Last updated
January 20, 2021

John W Diefenderfer is a Family Medicine based in Waterville, ME. John W Diefenderfer practices in Waterville, ME and has the professional credentials of DO. The NPI Number for John W Diefenderfer is 1407236185 and holds a License No. UO 4638 (FL). The current practice location address for John W Diefenderfer is 149 North St, Waterville, ME 04901-4974 and can be reached out via phone at 207-861-5101 and via fax at 207-872-4341.

Provider Profile Details

NPI Number
1407236185
Provider Name
John W Diefenderfer
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
149 North St, Waterville, ME 04901-4974
Phone Number
207-861-5101
Fax Number
207-872-4341
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 8, 2015
Last Update Date
January 20, 2021
Certification Date
January 20, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
149 North St
Waterville, ME 04901-4974
State
Maine
Zip
04901-4974
Phone Number
207-861-5101
Fax Number
207-872-4341
Waterville, ME 04901Get directions →

Provider Business Mailing Address Details

Address
149 North St
Waterville, ME 04901-4974
City
Waterville
State
ME
Zip
04901-4974
Phone Number
207-861-5101
Fax Number
207-872-4341

License Information

License Number (1)
UO 4638
License State (1)
FL
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
do2785
License State (2)
ME
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John W Diefenderfer, DO?

The NPI number of John W Diefenderfer, DO is 1407236185. It was assigned on June 8, 2015 and is currently active in the NPPES registry.

What is the specialty of John W Diefenderfer, DO?

John W Diefenderfer, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in FL under license number UO 4638.

Where does John W Diefenderfer, DO practice?

The practice location is 149 North St, Waterville, ME 04901-4974. The office can be reached at 207-861-5101 (phone) or 207-872-4341 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407236185 directly on the NPPES registry website.

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