Dennis U Atienza DO LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0200425A Issued in IN

Legal business name

DENNIS U ATIENZA DO LLC

Practice address

1401 Memorial Ave
Suite B
Washington, IN 47501-3153

Phone

(812) 254-2400

Fax

(812) 254-3191

NPI assigned

Jul 22, 2013

Last updated

Feb 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis U Atienza, DO

Title

Owner

Phone

(812) 254-2400

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1629410444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013153",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEMORIAL AVE",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013153",
            "telephone_number": "812-254-2400",
            "fax_number": "812-254-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS U ATIENZA DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "ATIENZA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-254-2400",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "0200425A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000833372",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201210430A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deaconess Memorial Medical Center Inc (Cullen Medical Professionals)
• Deaconess Memorial Medical Center Inc (Memorial Health Washington)
• Deaconess Specialty Physicians Inc
• Cyrus Austin Deem, DDS
• Michele Diane Deitz, PTA
• Traci Gail Devers, COTA
• Jessica Brooke Devine, MSN, APRN, FNP-C
• James Glenn Dickerson, MSW
• Miah Jordan Downs
• Dr Stephen R Gregory & Assoc, PC

• Obstetrics & Gynecology Physician in Washington, IN
• Providers in Washington, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.