Arlene L Dijamco, M.D., FAAP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

066592 Issued in GA

Practice address

900 Old Roswell Lakes Pkwy
Suite 220
Roswell, GA 30076-8663

Phone

(678) 629-3988

Fax

(855) 756-8564

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Arlene Dijamco Botelho Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 16, 2013 through Aug 16, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1649245374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD ROSWELL LAKES PKWY",
            "address_2": "SUITE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768663",
            "telephone_number": "678-629-3988",
            "fax_number": "855-756-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD ROSWELL LAKES PKWY",
            "address_2": "SUITE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768663",
            "telephone_number": "678-629-3988",
            "fax_number": "855-756-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIJAMCO",
        "first_name": "ARLENE",
        "middle_name": "L",
        "credential": "M.D., FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "066592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLENE",
            "last_name": "BOTELHO",
            "middle_name": "DIJAMCO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shelley Diefenbach, M.A.
• Deedee T Diep, D.O.
• John Michael Dierkes, DDS MS FICCMO
• Angelo Difelice Jr.
• Digital Dynamos LLC
• John Dilks, PHARMD, RPH
• Jake Dillon, COTA/L
• Whitney Sharp Dimatteo, M.S., M.ED., BCBA
• Yi Ding, DO
• Megan Rae Dingers, PHARMD

• Pediatrics Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.