MYRA D. DIMITROV M.D. – NPI #1134548464
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MYRA DIMITROV is a physician located in PALMER, AK. NPPES has assigned the NPI number 1134548464 to MYRA DIMITROV on April 15, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Nov 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MYRA DIMITROV below.

NPI Profile for
MYRA D. DIMITROV

NPI Number
1134548464
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MYRA D. DIMITROV
Credentials
M.D.
Primary location
2323 S TRUNK RD APT 6
PALMER, AK 99645
Phone: (907) 746-6644 Fax:
1 Other location(s):
104 W 5th Ave
STE 200W
Spokane, WA 99204-4880
Phone: (509) 624-2313
Fax: (509) 459-0686
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 AK 125163

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MYRA DIMITROV is affiliated with the following medical group(s):
  • HOSPITAL
    • SAMUEL SIMMONDS MEMORIAL HOSPITAL
      7000 UULA ST
      BARROW, AK 99723

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