Active NPI
Daniel J. Dymek MDPC
- Internal Medicine Physician
- Saginaw, MI
National Provider Identifier
1104080191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DD038477
- Legal business name
- DANIEL J. DYMEK MDPC
- Practice address
- 4801 McLeod Dr E
Saginaw, MI 48604-2840 - Phone
- (989) 790-7990
- Fax
- (989) 790-7989
- NPI assigned
- Jul 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel J Dymek, MD PC
- Title
- Physician/Owner
- Phone
- (989) 790-7990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DD038477 | MI | Primary |
Addresses
Primary practice location
4801 McLeod Dr E
Saginaw, MI 48604-2840
Mailing address
4801 McLeod Dr
Saginaw, MI 48604
UM
Phone (989) 790-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2840223 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616716800000",
"number": "1104080191",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "4801 MCLEOD DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48604",
"telephone_number": "989-790-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 MCLEOD DR E",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042840",
"telephone_number": "989-790-7990",
"fax_number": "989-790-7989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J. DYMEK MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-18",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A",
"authorized_official_last_name": "DYMEK",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "989-790-7990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PC"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "DD038477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2840223",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.