Dr. Jack Diep, MD
Dr. Jack Diep, MD is a Pain Management in Lake Havasu City, Arizona. Qualified in 2013, 13 years ago. Practices with Lakeside Orthopedic Institute LLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 13
- Licensed in
- AZ
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1791 Mesquite AveLake Havasu City, AZ 86403-5648
Phone: (928) 505-5555
Fax: (928) 505-2877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 — (928) 505-5555
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 55528 (AZ) |
|---|---|
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X · Licence 55528 (AZ) |
| Pain Medicine Physician | Taxonomy 208VP0000X · Licence 55528 (AZ) |
Record details
| NPI number | 1912333014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 20, 2013 |
| Last updated in NPPES | September 27, 2022 |
| Certification date | September 27, 2022 |
Medicare enrollment
| Medicare specialty | PAIN MANAGEMENT |
|---|---|
| Also practises | ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT |
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Lakeside Orthopedic Institute Llc — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Lake Havasu City
-
Dr. Selaiman Noori, MD
25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 · (928) 505-7246
-
Riviera Primary Care
1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403-5771 · (928) 846-7097
-
Tristate Medical Specialists LLC
1987 McCulloch Blvd N, Lake Havasu City, AZ 86403-5682 · (928) 788-3333