John W Diefenderfer, DO
Family Medicine in Waterville, Maine
1407236185- Practice location
- 149 North St, Waterville, ME 04901-4974
- Phone
- 207-861-5101
- 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 - City
- Waterville
- State
- Maine
- Zip
- 04901-4974
- Phone Number
- 207-861-5101
- Fax Number
- 207-872-4341
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Waterville, ME
View all Family Medicine providers in Waterville →- A R Amalfitano, DOFamily Medicine · NPI 1043370497
- Amethyst J Arceo, DOFamily Medicine · NPI 1801913553
- Breanna M Glynn, DOFamily Medicine · NPI 1871152330
- Catherine Batz, DOFamily Medicine · NPI 1003307752
- Garrett Fontaine, MDFamily Medicine · NPI 1679140818
- Georgia Ballem, MDFamily Medicine · NPI 1437671286
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.