Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023107224 Individual Practitioner Male Practitioner

Dr. Thomas J Diem , DDS, MD

Specialist • Fridley, MN

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Diem, DDS, MD is a registered healthcare professional specializing in Specialist in Fridley, MN. Practice services are available at 500 OSBORNE RD NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Osborne Rd Ne
Unity Professional Bldg Suite 350

Fridley, MN 554322765

Telephone 7637808927
Fax 7637801286
Associated Practice Facility / Clinic
🏢 Daniel R Baker Md Pa Facility NPI 1700971942

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fridley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.2 Yrs
State Avg: 34.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Fridley, MN (877 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 24664

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medica Id
1305105 (MN)
Commercial Insurance / Payer ID Bcbs Id
03507AE (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Dr. Lisa Mattson , MD

Obstetrics & Gynecology

NPI 1053394825

Doctor of Medicine (M.D.)

Jennifer Sullivan , WHNP

Nurse Practitioner - Women's Health

NPI 1053584789

Women's Health Nurse Practitioner

Jill Marrone , MS, RD, LD

Dietitian, Registered

NPI 1073935219

Master of Science, Registered Dietitian, Licensed Dietitian

Angela Bennett

Pediatrics

NPI 1083152367
NPI 1083718274

Doctor of Medicine (M.D.)

Dr. Mary Zygmunt , DO

Obstetrics & Gynecology - Gynecology

NPI 1104886407

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 500 OSBORNE RD NE, UNITY PROFESSIONAL BLDG SUITE 350, FRIDLEY, MN 554322765 (Tel: 7637808927)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12010 53RD AVE N, PLYMOUTH, MN 554421834 (Tel: 7635571353)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS DIEM, D.D.S., M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #24664 in MN)

🟢
Initial NPI Registration & Enumeration October 12, 2006

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: 1023107224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

12010 53rd Ave N

Plymouth, MN 554421834

Phone: 7635571353

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.