DR. JOHN R DIETLEIN (NPI# 1447226717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447226717 |
| Entity Type | Individual |
| Full Name | DR. JOHN R DIETLEIN |
| Credential | M.D. |
| Practice Address |
6886 Hollow Mill Dr Salt Lake City UT 84121-3322 |
| Mailing Address |
Po Box 712270 Salt Lake City UT 84171-2270 |
| Practice Telephone | 8019440095 |
| Mailing Telephone | 8019440095 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
83-169963-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
6886 HOLLOW MILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326148073 | Physician Home Care of Utah,l.c. | Family Medicine | 6886 Hollow Mill Dr, Salt Lake City, UT 84121-3322 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710245402 | Medicruiser Onsite Care | Family Medicine | 225 10th Ave, Salt Lake City, UT 84103-2529 | 2012-05-01 |
| 1396999868 | Cynthia Jean Lawlor | Family Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2008-11-11 |
| 1326148073 | Physician Home Care of Utah,l.c. | Family Medicine | 6886 Hollow Mill Dr, Salt Lake City, UT 84121-3322 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1154755882 | Senior Mobile Docs | Family Medicine | 9980 S 300 W, Suite 245, Sandy, UT 84070-3627 | 2013-08-29 |
| 1083998603 | Ogden Internal Medicine and Urology | Family Medicine | 2950 N Church Street, Layton, UT 84040 | 2011-09-30 |
| 1508145111 | Ihc Health Services Inc | Family Medicine | 9720 S 1300 E, Ste E240, Sandy, UT 84094-3795 | 2011-08-12 |
| 1235426925 | Steven E Warren Md PC LLC | Family Medicine | 4790 Hidden Lake Dr, Bountiful, UT 84010-6083 | 2011-07-01 |
| 1760650527 | Columbia Ogden Regional | Family Medicine | 5405 S 500 E, Suite 110, Ogden, UT 84405-6957 | 2008-02-14 |
| 1689746786 | Nancy Jo Zega | Family Medicine | 425 E 5350 S, 255, Ogden, UT 84405-6946 | 2006-11-14 |
| 1932285418 | Charles Steven Fehlauer | Family Medicine | 2773 Etienne Way, Sandy, UT 84093-1116 | 2006-10-27 |
| 1114947223 | Carl Edward Wyne | Family Medicine | 5770 Fashion Blvd, Murray, UT 84107-6548 | 2006-07-20 |
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on DR. JOHN R DIETLEIN.
| 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.