Elaina Diclemente, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601007990 Issued in MI

Practice address

44199 Dequindre Rd Ste 222
Troy, MI 48085-1128

Phone

(248) 879-5570

NPI assigned

Oct 8, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14995/brand/1/csg/1/fhir/r4

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

• Pediatric Consultants of Troy, P.C.

  • Pediatrics Physician
  • Rochester Hills, MI
  • NPI 1003821661
  NPD (past)

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1902356454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 ROXBURY CT",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483711563",
            "telephone_number": "248-520-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 DEQUINDRE RD STE 222",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851128",
            "telephone_number": "248-879-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICLEMENTE",
        "first_name": "ELAINA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-08",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane P Cushing LPC
• Julian Diaz, LMSW
• Theresa Diaz
• Alaina Marie Dibartolomeo, P.A.-C
• Lea R Dickinson, LLPC
• Abigail Diehl, MSN, CPNP-PC
• Clay Cunningham Dietz, D.D.S.
• Sierra Dietz, LLMSW
• Mackenzie Nicole Difiore, NP
• James E. Dignan, MSLLP

• Medical Physician Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.