ISAAC DIETERMAN (NPI# 1174185474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174185474 |
| Entity Type | Individual |
| Full Name | ISAAC DIETERMAN |
| Credential | BA, DP-C |
| Practice Address |
5816 Eastman Ave Midland MI 48640-6792 |
| Practice Telephone | 9897741224 |
| Mailing Telephone | 9897741224 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
5816 EASTMAN AVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609059419 | Pamela J Secondine | Social Worker | 5816 Eastman Ave, Midland, MI 48640-6792 | 2007-12-14 |
| 1205484227 | Justin D Oh-lee | Social Worker | 5816 Eastman Ave, Midland, MI 48640-6792 | 2019-09-03 |
| 1407201387 | Laurie K Doerner | Counselor | 5816 Eastman Ave, Midland, MI 48640 | 2016-04-28 |
| 1912314360 | Chad H Bryan | Counselor | 5816 Eastman Ave, Midland, MI 48640-6792 | 2014-07-17 |
| 1528325305 | Nicole A. Ahlschwede | Social Worker | 5816 Eastman Ave, Midland, MI 48640 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396483 | Amber Celeste Ruiz | Counselor | 8613 W County Road 60, Midland, TX 79707-1357 | 2020-01-29 |
| 1598236960 | Delma Lemos | Counselor | 1301 Latta St Apt 1021, Midland, TX 79701-7581 | 2018-12-11 |
| 1396245478 | Michele Dorothy Savage | Counselor | 6401 Patriot Pkwy, Midland, TX 79706-2973 | 2018-02-15 |
| 1992231740 | Ashlea White | Counselor | 1617 Monterrey Dr, Midland, TX 79703-5045 | 2017-05-11 |
| 1093158867 | Lee Conner Culver | Counselor | 2405 Auburn Pl, Midland, TX 79705-4906 | 2013-04-11 |
| 1922121458 | Tony Moreno Marquez | Counselor | 502 N Carver St, Midland, TX 79701-3634 | 2007-04-09 |
| 1184765208 | Ten Sixteen Recovery Network | Counselor | 220 W Main St Ste 202, Midland, MI 48640-5184 | 2007-02-09 |
| 1841343381 | New Horizons Csb Alchemy | Counselor | 9067 Veterans Pkwy, Midland, GA 31820-3411 | 2007-01-19 |
| 1447324520 | Edwin Donald Poage | Counselor | 3000 N Garfield, Suite 230 Heritage Counseling, Midland, TX 79705 | 2006-11-20 |
| 1942288485 | Steven Fick | Counselor | 1897 S Patterson Rd, Midland, MI 48640-8589 | 2006-01-05 |
| Find all providers in MIDLAND | ||||
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| 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.