PATRICK J. DIDEUM MD – NPI #1780078535
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PATRICK DIDEUM is a physician located in APO, AE. NPPES has assigned the NPI number 1780078535 to PATRICK DIDEUM on March 18, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Apr 15, 2022. 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 PATRICK DIDEUM below.

NPI Profile for
PATRICK J. DIDEUM

NPI Number
1780078535
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PATRICK J. DIDEUM
Credentials
MD
Primary location
86 MEDICAL GROUP
UNIT 3215
APO, AE 09094
Phone: (314) 479-2538 Fax:
2 Other location(s):
3551 Roger Brooke Dr
SAMMC, Pediatric Residency Program
Jbsa Ft Sam Houston, TX 78234
Phone: (210) 916-9928
Fax: (210) 916-9332
1100 Wilford Hall Loop
Lackland AFB, TX 78236-5638
Phone: (210) 292-4277
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Apr 02, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208000000X
- Pediatrics (Primary)
NE 29681

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.