LISA DIETZ DO PLLC (NPI# 1447445879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447445879 |
| Entity Type | Organization |
| Organization Name | LISA DIETZ DO PLLC |
| Practice Address |
6507 Town Center Dr Ste A Clarkston MI 48346-4826 |
| Practice Telephone | 2489929975 |
| Practice Fax Number | 2489929143 |
| Mailing Telephone | 2489929975 |
| Mailing Fax Number | 2489929143 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Authorized Official Name | DR. LISA GRACE DIETZ (OWNER) |
| Authorized Official Telephone | 2489929975 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6507 TOWN CENTER DR STE A |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-4826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067541 | Lisa Dietz | Family Medicine | 6507 Town Center Dr, Suite A, Clarkston, MI 48346-4826 | 2005-10-14 |
| 1518337377 | Cody Senkyr | Chiropractor | 6507 Town Center Dr, Suite F, Clarkston, MI 48346-4826 | 2015-10-05 |
| 1598930281 | Katherine Z French, D.o. L.l.c | Family Medicine | 6507 Town Center Dr, Suite A, Clarkston, MI 48346-4826 | 2008-04-24 |
| 1689604464 | Cowan Chiropractic Clinic, P.C. | Chiropractor | 6507 Town Center Dr, Suite F, Clarkston, MI 48346-4826 | 2006-07-04 |
| 1285607762 | John Stephen Cowan | Chiropractor | 6507 Town Center Dr, Suite F, Clarkston, MI 48346-4826 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134562549 | Ramy Mansour | Internal Medicine | 5701 Bow Pointe Dr Ste 370, Clarkston, MI 48346-5403 | 2013-04-16 |
| 1962744599 | Vincenzo Guglielmetti Md P C | Internal Medicine | 8031 Ortonville Rd, Suite 130, Clarkston, MI 48348-4484 | 2013-03-21 |
| 1437418829 | Sean R Lindsey | Internal Medicine | 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021-1838 | 2012-05-07 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1083858856 | Steven Allan Sumner | Internal Medicine | 3996 E Ponce De Leon Ave, Clarkston, GA 30021-1814 | 2009-04-23 |
| 1417085085 | Clarkston Internal Medicine, P.C. | Internal Medicine | 7188 N Main St, Clarkston, MI 48346-1571 | 2007-03-02 |
| 1801959168 | Anthony Aenlle Md PC | Internal Medicine | 6815 Dixie Highway, Clarkston, MI 48346 | 2006-12-18 |
| 1336194117 | Tarlika Chirpriya Dhabuwala | Internal Medicine | 5790 South Main Street, Ste J, Clarkston, MI 48346 | 2006-05-23 |
| 1598733693 | Narin Tanir-avci | Internal Medicine | 5905 S Main St, Suite 2, Clarkston, MI 48346-2990 | 2006-03-14 |
| 1689641664 | Abdallah M. Rizk | Internal Medicine | 6815 Dixie Hwy, Suite 1, Clarkston, MI 48346-2092 | 2006-03-08 |
| Find all providers in CLARKSTON | ||||
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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.