DR. WILLIAM J DITTRICH


Address: 2347 E Gala St, Meridian, ID 83642-4881
Phone: 2083230031

DR. WILLIAM J DITTRICH (NPI# 1154469328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154469328
Entity Type Individual
Full Name DR. WILLIAM J DITTRICH
Credential MD
Practice Address 2347 E Gala St
Meridian
ID 83642-4881
Mailing Address 190 E Bannock St
Boise
ID 83712-6241
Practice Telephone 2083230031
Practice Fax Number 2083230064
Mailing Telephone 2083230031
Mailing Fax Number 2083230064
Enumeration Date 2007-02-01
Last Update Date 2011-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
M-7052 ID Allopathic & Osteopathic Physicians

Office Location

Street Address 2347 E GALA ST
City MERIDIAN
State ID
Zip Code 83642-4881

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588649412 Thomas E O'mara Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2005-12-14
1780032649 Brent Taylor Physician Assistant 2347 E Gala St, Meridian, ID 83642-4881 2016-06-01
1215396478 Jennifer Ann Fulton Hofer Nurse Practitioner 2347 E Gala St, Meridian, ID 83642-4881 2016-02-16
1407214497 Amy Dancer Registered Nurse 2347 E Gala St, Meridian, ID 83642-4881 2016-02-04
1922363720 Danielle V Brunk Nurse Practitioner 2347 E Gala St, Meridian, ID 83642-4881 2012-07-08
1962773655 Molly K. Lynn Nurse Practitioner 2347 E Gala St, Ste 150, Meridian, ID 83642-4881 2012-01-26
1003110313 Eric Ld Scholten Internal Medicine 2347 E Gala St, Meridian, ID 83642 2010-12-29
1477874360 Andrew David Reger Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2010-06-15
1205034238 David E Fonseca Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-07-11
1053521203 Oleg Sergeevich Kouskov Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
Find all providers in zip 83642

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033461009 Juantina Johnson Md LLC Internal Medicine 1314 19th Ave, Meridian, MS 39301-4116 2012-10-15
1629117619 Karen S Miller Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-02-06
1659419448 James P Souza Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-02-02
1730227927 William G Bergquist Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-02-01
1104964204 Wendi M Norris Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-02-01
1790823904 Saadia R Akhtar Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-02-01
1467590661 David E Sasso Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-02-01
1265570360 Sogol Nowbar Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2007-02-01
1578591210 Brian W Goltry Internal Medicine 2347 E Gala St, Meridian, ID 83642-4881 2006-06-29
1760469340 William F Reid Internal Medicine 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 2005-12-27
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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