PAUL M DITMANSON M.D.
NPI 1922181676
Family Medicine in Red Lake, MN

Active since October 23, 2006
HWY 1 BOX 497, PHS INDIAN HOSPITAL, RED LAKE, MN 56671(218) 679-3912(218) 679-0181 Get Directions Write a Review

NPPES record last updated: November 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul M Ditmanson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL M DITMANSON M.D. (NPI 1922181676) is an individual family medicine provider in Red Lake, Minnesota, licensed in Minnesota (30915) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1922181676
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL M DITMANSONCredential: M.D.
Location AddressHWY 1 BOX 497, PHS INDIAN HOSPITALRed Lake, MN 56671
Mailing AddressHwy 1 Box 497, Phs Indian HospitalRed Lake, MN 56671 · (218) 679-3912 · Fax (218) 679-0181
Fax(218) 679-0181
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateNovember 8, 2007
NPI 1922181676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 30915
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
HWY 1 BOX 497, Red Lake, MN 56671

Other Identifiers 4

Medicare OSCAR/certification240206MN
Other30915MN · Minnesota License
Medicare PIN8HZ59QMN
Medicare UPING2691MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Ditmanson's NPI number?

The NPI number for Paul Ditmanson is 1922181676. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Paul Ditmanson located?

Paul Ditmanson practices at Hwy 1 Box 497 Phs Indian Hospital, Red Lake, MN 56671. The listed phone number is (218) 679-3912.

What is Paul Ditmanson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Paul Ditmanson was last updated on November 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.