DIANE L DEJONG (NPI# 1124008354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124008354 |
| Entity Type | Individual |
| Full Name | DIANE L DEJONG |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
100 E Sherman St Monroe IA 50170-7923 |
| Practice Telephone | 6412592155 |
| Practice Fax Number | 6412593138 |
| Mailing Telephone | 6412592155 |
| Mailing Fax Number | 6412593138 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001494 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
001494 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831352996 | Diane Elaine Dejong | Developmental Therapist | 325 N Larch Ave, Elmhurst, IL 60126-2311 | 2008-07-08 |
| Street Address |
100 E SHERMAN ST |
| City | MONROE |
| State | IA |
| Zip Code | 50170-7923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346232352 | Jennifer L Hill | Nurse Practitioner | 100 E Sherman St, Monroe, IA 50170 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1447294608 | Pella Regional Health Center | Clinic/Center | 100 East Sherman Street, Monroe, IA 50170 | 2006-06-16 |
| 1891787818 | City of Monroe | Ambulance | 107 N Monroe, Monroe, IA 50170 | 2005-08-16 |
| 1386028306 | Midwest Wellness | Chiropractor | 206 E Marion St, Monroe, IA 50170-7763 | 2015-07-20 |
| 1093103350 | Cameron N Hindley | Chiropractor | 206 E Marion St, Monroe, IA 50170-7763 | 2015-01-08 |
| 1194086728 | New Care Clinics LLC | Clinic/Center | 206 E Marion St, Monroe, IA 50170-7763 | 2012-05-30 |
| 1972779452 | Skiff Medical Center | Physician Assistant | 206 E Marion St, Monroe, IA 50170-7763 | 2008-05-05 |
| 1194804468 | Alexander W Macy | Chiropractor | 410 N York St, Monroe, IA 50170-7798 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1003417544 | Auleen James | Registered Nurse | 27 Lois Ln, Monroe, NY 10950-4164 | 2020-11-02 |
| 1093316614 | Eastside Integrative Medicine, Pllc | Naturopath | 144 Charles St, Monroe, WA 98272-2303 | 2020-11-02 |
| 1215537436 | Amazing Love | Clinic/Center | 1201 W Crowell St, Monroe, NC 28112-4535 | 2020-10-27 |
| 1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
| 1598364069 | Grace Gomez | Interpreter | 16941 Allison St Se, Monroe, WA 98272-2670 | 2020-10-25 |
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1932707759 | Bonnie C Guerriero | Dietitian, Registered | 3217 Claiborne Cir, Monroe, LA 71201-2007 | 2020-10-14 |
| Find all providers in MONROE | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246472 | Samantha Lee Kyvik | Physician Assistant | 147 Ludlam Rd, Monroe, NY 10950-4534 | 2020-05-11 |
| 1588202063 | Tova Schur | Physician Assistant | 2 Strelisk Court, Monroe, NY 10950 | 2019-12-16 |
| 1407404072 | Phong Chau Truong Tran | Physician Assistant | 696 Breedlove Dr Ste A, Monroe, GA 30655-2052 | 2019-08-27 |
| 1467014472 | Marissa L Jimenez | Physician Assistant | 1200 State Route 208 Ste 13, Monroe, NY 10950-4649 | 2019-07-01 |
| 1508366261 | Veronica Romero | Physician Assistant | 3402 Continental Dr, Monroe, NC 28110-5201 | 2018-02-19 |
| 1619480910 | Betty Yue | Physician Assistant | 16422 156th St Se, Monroe, WA 98272-2803 | 2017-11-08 |
| 1346798402 | Shari Koller | Physician Assistant | 501 State Route 208, Monroe, NY 10950-1611 | 2016-09-19 |
| 1811352321 | Amber Teegen Morton | Physician Assistant | 1663 Campus Park Dr Ste D, Monroe, NC 28112-5582 | 2015-12-28 |
| 1518343755 | Laura French Alison | Physician Assistant | 1338 E Sunset Dr Ste C, Monroe, NC 28112-4362 | 2015-08-10 |
| 1295120442 | Corrina Baglia | Physician Assistant | 907 Fitzgerald St, Monroe, NC 28112-5680 | 2015-04-04 |
| Find all providers in MONROE | ||||
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| 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.