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Deactivated NPI 1053698662 Deactivated / Inactive NPI Male Practitioner

Dr. Albert Cecil Diddams , MD

Surgery • Dewey, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Albert Diddams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2011
NPI Deactivation Date June 05, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Albert Diddams, MD was a registered Surgery practicing in Dewey, AZ. Throughout an active medical career spanning 6 years, Dr. Diddams provided care at the practice location at 11598 E HORSESHOE LN until profile deactivation on 2017-06-05.

Practice Location & Contact Primary Location

Practice Address

11598 E Horseshoe Ln

Dewey, AZ 863275715

Telephone 9287599047
Fax 9287721458

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dewey, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Dewey, AZ (801 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 25211

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 05, 2017

Record deactivated on June 05, 2017

NPI Profile Active November 10, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 10, 2011

Registered at 11598 E HORSESHOE LN, DEWEY, AZ 863275715 (Tel: 9287599047)

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Updated Business Mailing Address November 10, 2011

Registered at 11598 E HORSESHOE LN, DEWEY, AZ 863275715 (Tel: 9287599047)

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Provider Name / Credentials Updated November 10, 2011

Recorded as ALBERT DIDDAMS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2011

Surgery (License #25211 in AZ)

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Initial NPI Registration & Enumeration November 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053698662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2011
Last Update: November 10, 2011
Deactivation Date: June 05, 2017

Mailing Address

11598 E Horseshoe Ln

Dewey, AZ 863275715

Phone: 9287599047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.