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NPI Code Detail

MEDICARE: ELAINE H NIGGEMANN M.D.

MEDICARE: ELAINE H NIGGEMANN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician13456AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00139916OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0753470OTHERAZBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32Z0872OTHERAZHEALTHNET
525-3408OTHERAZUNITED HEALTHCARE

General Provider Information

NPI Number : 1427054063
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE H NIGGEMANN M.D.
Provider Business Mailing Address
First Line : PO BOX 98819
Second Line :
City : LAS VEGAS
State : NV
Zip : 89193
Country : US
Telephone Number : 602-494-3659
Fax Number : 602-494-3682
Provider Business Practice Location Address
First Line : 3805 E BELL RD
Second Line : SUITE 3100
City : PHOENIX
State : AZ
Zip : 85032-3356
Country : US
Telephone Number : 602-867-8644
Fax Number : 602-795-5698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 08/15/2013

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