Diekman Dysautonomia LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

DIEKMAN DYSAUTONOMIA LLC

Practice address

5000 Thayer Ctr
Oakland, MD 21550-1139

Phone

(219) 928-3500

NPI assigned

Aug 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Diekman, MD

Title

Director

Phone

(219) 928-3500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1912738121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PALMYRA LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161812",
            "telephone_number": "219-928-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 THAYER CTR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501139",
            "telephone_number": "219-928-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEKMAN DYSAUTONOMIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "DIEKMAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-928-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Delalla, RN
• Dennett Road Manor Inc
• Dennett SNF
• Dennett SNF LLC
• Diakon Lutheran Social Ministries
• Sarah Jean Diekman
• John Robyn V Diez, MD
• Michelle K Dixon, CRNP
• Mark Thomas Domenick, MD
• Lynda S Dougherty, M.D.

• Occupational Medicine Clinic/Center in Oakland, MD
• Providers in Oakland, MD by specialty
• Occupational Medicine Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.