Daryl Ezidore

ActiveIndividual ProviderSpecialty not listed
NPI issued: March 30, 2015

Quick Facts

NPI Number
1902291842
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy390200000X — Specialty not listed
Phone
(801) 322-3222
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1902291842)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 30, 2015)
Data source: CMS NPPES

Provider Overview

DARYL EZIDORE is a Healthcare provider based in Salt Lake City, UT who has been registered with CMS since 2015. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1902291842
Provider TypeIndividual Provider
GenderMale
StatusActive
Enumeration DateMarch 30, 2015

Practice Location

CitySalt Lake City
StateUT
ZIP Code84101
Phone(801) 322-3222

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code390200000X
License StateUT

Mailing Address

CitySalt Lake City
StateUT
ZIP Code84101
Phone(801) 322-3222
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1902291842 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1902291842for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1902291842 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
361,604
Specialty not listed Providers in the US

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People Also Ask

What is Daryl Ezidore's NPI number?
Daryl Ezidore's NPI number is 1902291842, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Daryl Ezidore's NPI currently active?
Yes, Daryl Ezidore's NPI status is Active as of the latest CMS NPPES database updates.
What does Daryl Ezidore specialize in?
Daryl Ezidore specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 390200000X.
Where does Daryl Ezidore practice?
Daryl Ezidore practices in Salt Lake City, UT 84101.
When was Daryl Ezidore's NPI issued?
Daryl Ezidore's NPI was issued on March 30, 2015.
What is Daryl Ezidore's provider type?
Daryl Ezidore is registered as an Individual Provider under CMS NPI Type 1.