IRENE C DIETZ (NPI# 1265478861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265478861 |
| Entity Type | Individual |
| Full Name | IRENE C DIETZ |
| Credential | MD |
| Practice Address |
2500 Metrohealth Dr Mhmc-pediatrics Cleveland OH 44109-1900 |
| Practice Telephone | 2167782222 |
| Mailing Telephone | 2167782222 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
35059507 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0776692 | 05 |
| Street Address |
2500 METROHEALTH DR MHMC-PEDIATRICS |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102340 | William Robert Roscoe | Optometrist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2005-05-31 |
| 1366041980 | Anthony Rimpf | Pharmacist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-23 |
| 1528667896 | Mary Gut | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-19 |
| 1629676507 | Juyoun Park | Social Worker | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-13 |
| 1245838473 | Afeez Kolawole Adisa | Pediatrics | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-10-10 |
| 1386241867 | Andrew Kociubuk | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-07 |
| 1992311666 | Laura Lynn Posey | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-18 |
| 1508472143 | Yusuf Alawadhi | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-09-18 |
| 1255945424 | Christopher Paul Boutton | Nurse Anesthetist, Certified Registered | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-03 |
| 1992319636 | Ella Mathieson | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699863084 | Roberta E Bauer | Pediatrics | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058828 | Marina Khrizman | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-03-29 |
| 1114203262 | Mahesh Chikkannaiah | Pediatrics | 1 Childrens Plz, Neurology Department, Dayton, OH 45404-1873 | 2011-11-02 |
| 1376821512 | Mohammed Najjar | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2011-07-21 |
| 1174715593 | Maria Cristina C Victorio | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2007-08-10 |
| 1770563462 | Wendelin A Burdo Hartman | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-01-19 |
| 1023010907 | Benedicta G Enrile | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2005-08-11 |
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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.