| Dr Derek C Diffendaffer, MD | |
|
7600 W Tidwell Rd Ste 103, Houston, TX 77040-5719 | |
| (713) 461-3573 | |
| Not Available |
| Full Name | Dr Derek C Diffendaffer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 7600 W Tidwell Rd Ste 103, Houston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558629113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R9206 (Texas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Oklahoma Spine Hospital | Oklahoma city, OK | Hospital |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Star Fm Lp | 1153591763 | 53 |
| North Star Mri Of Frisco Lp | 2769574854 | 43 |
| Singleton Associates Pa | 6305731118 | 635 |
| North Star Diagnostic Imaging Llc | 8729118021 | 33 |
| Eagle Partners Pllc | 9032205752 | 115 |
| North Star Fm Lp | 1153591763 | 53 |
| North Star Mri Of Frisco Lp | 2769574854 | 43 |
| North Star Diagnostic Imaging Llc | 8729118021 | 33 |
| Entity Name | Grady Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750370268 PECOS PAC ID: 0648175778 Enrollment ID: O20031203000193 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20071011000078 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20151015001117 |
| Entity Name | North Star Cn Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20210720000562 |
| Entity Name | North Star Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20210820001083 |
| Entity Name | North Star Npt Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699387647 PECOS PAC ID: 8426468265 Enrollment ID: O20210910001803 |
| Entity Name | North Star Fm Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20210914001344 |
| Entity Name | North Star Fp Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20211102002362 |
| Entity Name | North Star Gv Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20220106001418 |
| Entity Name | North Star Mcd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700550282 PECOS PAC ID: 2668659434 Enrollment ID: O20220209002627 |
| Entity Name | North Star Mri Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20220209002860 |
| Entity Name | North Star Mri Of Frisco Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20220221001718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek C Diffendaffer, MD 4502 E 41st St., Schusterman Center, Tulsa, OK 74135-2512 Ph: (918) 660-3000 | Dr Derek C Diffendaffer, MD 7600 W Tidwell Rd Ste 103, Houston, TX 77040-5719 Ph: (713) 461-3573 |
Dr. Joshua Thomas Blunck, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7026 Old Katy Rd Ste 276, Houston, TX 77024 Phone: 713-621-7426 Fax: 281-674-8308 | |
Dr. Rohan Samir Shah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8305 Knight Rd, Houston, TX 77054 Phone: 713-790-1666 | |
Neal Savjani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6720 Bertner Ave, Houston, TX 77030 Phone: 832-355-5100 | |
Natalia Solomon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3310 Richmond Ave, Houston, TX 77098 Phone: 713-797-1919 | |
Osama Mohamad, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Whitney Boyce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St # 2.116, Houston, TX 77030 Phone: 713-500-7643 | |
Susana Calle, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |