JEFFREY MERRICK DYM (NPI# 1124129788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124129788 |
| Entity Type | Individual |
| Full Name | JEFFREY MERRICK DYM |
| Credential | MD |
| Practice Address |
25500 Rancho Niguel Road, Suite 120 Laguna Niguel CA 62677 |
| Mailing Address |
Dept La 21789 Pasadena CA 91185-1789 |
| Practice Telephone | 9498313122 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 8004097005 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A93960 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BS OF CA | 00A939600 | 01 |
| CA | 1124129788 | 05 |
| Street Address |
25500 RANCHO NIGUEL ROAD, SUITE 120 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 62677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942317540 | Pleasant Plains Cusd 8 | Local Education Agency (LEA) | 315 West Church Street, Pleasant Plains, IL 62677 | 2006-08-23 |
| 1073122594 | Megan E Strohm | Nurse Practitioner | 6258 Lehmann Rd, Pleasant Plains, IL 62677-3441 | 2020-07-30 |
| 1023194099 | Terri Lynne Gleason | Speech-Language Pathologist | 109 Poplar, Pleasant Plains, IL 62677-3445 | 2006-10-31 |
| 1639550767 | Robert Kaufmann | Obstetrics & Gynecology | 8220 Farmington Cemetery Rd, Pleasant Plains, IL 62677-3748 | 2015-06-15 |
| 1689877516 | Jessica Swisegood | Speech-Language Pathologist | 5345 Durango Trl, Pleasant Plains, IL 62677-4072 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416686 | Marleyna Daughters | Pharmacist | 25 Saint Paul Ln, Laguna Niguel, CA 92677-9374 | 2020-10-31 |
| 1295334142 | Alexander Wade | Massage Therapist | 24012 Paseo Del Campo, Laguna Niguel, CA 92677-2407 | 2020-10-21 |
| 1851998348 | Brendan Woods | Counselor | 24468 Sunlight Ln, Laguna Niguel, CA 92677-7828 | 2020-10-07 |
| 1326655549 | Matthew Stevens | Speech-Language Pathologist | 25055 Calle Playa Unit G, Laguna Niguel, CA 92677-7381 | 2020-09-30 |
| 1063029833 | Kamar Kamal | Case Manager/Care Coordinator | 5 Riverstone, Laguna Niguel, CA 92677-5309 | 2020-09-25 |
| 1740895325 | Tami Stokes | Psychologist | 27601 Forbes Rd Ste 21, Laguna Niguel, CA 92677-1239 | 2020-09-10 |
| 1710599576 | David Thai Wai Lee | Physical Therapist | 27772 Manor Hill Rd, Laguna Niguel, CA 92677-6008 | 2020-08-21 |
| 1578175618 | Dina Rafik Ghobrial | Dentist | 28985 Golden Lantern Ste B101, Laguna Niguel, CA 92677-1567 | 2020-08-19 |
| 1265041651 | Annie Mali Hadfield | Nurse Practitioner | 28 Stoney Pt, Laguna Niguel, CA 92677-1001 | 2020-07-30 |
| 1104442011 | Sarah Elisabeth Macmillian | Physical Therapist | 30100 Towne Center Drive, Suite Yz, Laguna Niguel, CA 92677-2064 | 2020-06-17 |
| Find all providers in LAGUNA NIGUEL | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417284522 | Robert Marcello Amato | Radiology | 40 South Peak Drive, Laguna Niguel, CA 92677 | 2009-11-10 |
| 1851563878 | Fouad Panah | Radiology | 22802 Channel Vw, Laguna Niguel, CA 92677-5416 | 2008-03-31 |
| 1568422558 | Jay Beckett Federhart | Radiology | 28202 Cabot Rd Ste 300, Laguna Niguel, CA 92677-1249 | 2006-03-24 |
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| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 62677 |
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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.