Michael Dimler, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

15831 Issued in AZ

Practice address

1920 E Cambridge Ave
201
Phoenix, AZ 85006-1459

Phone

(602) 254-5561

Fax

(602) 254-2185

NPI assigned

Nov 14, 2005

Last updated

Feb 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Children's Medical Group

  • Multi-Specialty Clinic/Center
  • Mesa, AZ
  • NPI 1487814240
  NPD (past)
• Saguaro Children's Surgery LTD.

  dba Pediatric Surgeons of Phoenix

  • Specialist
  • Phoenix, AZ
  • NPI 1295785418
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1063494326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-254-5561",
            "fax_number": "602-254-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E CAMBRIDGE AVE",
            "address_2": "201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061459",
            "telephone_number": "602-254-5561",
            "fax_number": "602-254-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMLER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AZ",
            "license": "15831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251546",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Dimarco, OD
• Denise Pauline Dimas, LPN
• Renee Dimas
• Prema Helen Dimauro, PTA
• Carolyn Dimiceli
• Michael Dimoff, RN
• Jay K Din, DDS
• Steven Franklin Dingle, MD
• Madelyne Mae Dingus, SLPA
• Rommel Youel Dinkha, DDS

• Pediatric Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.