DIEDRICH K HOLTKAMP (NPI# 1225041825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225041825 |
| Entity Type | Individual |
| Full Name | DIEDRICH K HOLTKAMP |
| Credential | MD |
| Practice Address |
541 Bay Ridge Parkway Brooklyn NY 11209 |
| Practice Telephone | 7187486451 |
| Practice Fax Number | 7189214534 |
| Mailing Telephone | 7187486451 |
| Mailing Fax Number | 7189214534 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
128889 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00396474 | 05 |
| Street Address |
541 BAY RIDGE PARKWAY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
| 1720565922 | Bushwick Medical of New York LLC | Surgery | 441 Knickerbocker Ave Ste B, Brooklyn, NY 11237-4508 | 2018-07-20 |
| 1043752785 | Starrett City Medical of New York LLC | Surgery | 924 Flatbush Ave, Brooklyn, NY 11226-4018 | 2016-11-11 |
| 1801207071 | Melissa Jennifer Baldwin | Surgery | 3131 Kings Hwy # Ll-07, Brooklyn, NY 11234 | 2014-05-09 |
| 1457629941 | Anukware Ketosugbo, Md, PC | Surgery | 20 Plaza Steet East, Brooklyn, NY 11238 | 2011-12-12 |
| 1568789469 | Hemal J Shah | Surgery | 476 7th St, Brooklyn, NY 11215-3613 | 2010-05-01 |
| 1659541886 | Michael Bezuevsky | Surgery | 3049 Ocean Parkway, Second Floor, Brooklyn, NY 11235 | 2008-03-04 |
| 1427278407 | Alexander Shiferson | Surgery | 903 49th St, Brooklyn, NY 11219-2923 | 2007-05-01 |
| 1710037627 | Jagannath Singh | Surgery | 8769 14th Ave, Brooklyn, NY 11228-3803 | 2007-01-11 |
| Find all providers in BROOKLYN | ||||
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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.