DR. JILL R DIETZ (NPI# 1487672945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487672945 |
| Entity Type | Individual |
| Full Name | DR. JILL R DIETZ |
| Credential | MD |
| Practice Address |
11100 Euclid Ave Cleveland OH 44106-1716 |
| Mailing Address |
24701 Euclid Ave 3rd Floor Euclid OH 44117-1714 |
| Practice Telephone | 2168447874 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
35074368 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2115419 | 05 |
| Street Address |
11100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776454 | John Hart Raaf | Surgery | 12501 Fairhill Rd, Cleveland, OH 44120-1017 | 2013-09-08 |
| 1306491626 | Tasadooq Hussain | Surgery | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-08-04 |
| 1801113873 | Luke Daniel Rothermel | Surgery | 11100 Euclid Avenue, Cleveland, OH 44106-5047 | 2010-04-29 |
| 1215155015 | Cleveland Breast Clinic | Surgery | 18660 Bagley Rd, Ste. 305 Bldg. 2, Cleveland, OH 44130-3483 | 2007-04-24 |
| 1902926751 | John Brian Ammori | Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-03-29 |
| 1689695355 | Natalie E Joseph | Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-07-21 |
| 1508894049 | Bruce J Averbook | Surgery | 2500 Metrohealth Dr, Mhmc-surgery/oncology, Cleveland, OH 44109-1900 | 2006-06-30 |
| 1154305753 | Diane M Radford | Surgery | 9500 Euclid Ave, A80, Cleveland, OH 44195-0001 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184816290 | Rebecca L. Glaser | Surgery | 9530 Cutlers Trce, Dayton, OH 45458-9161 | 2007-08-13 |
| 1790975951 | Tri-state Surgical Consultants Inc | Surgery | 2123 Auburn Ave Ste 420, Cincinnati, OH 45219-2906 | 2007-07-25 |
| 1568562031 | Ahmad H. Shatila | Surgery | 18660 East Bagly Rd, Bldg #2 Suite #305, Middleburg Heights, OH 44130 | 2006-09-25 |
| 1962511998 | Bridget A. Oppong | Surgery | 1145 Olentangy River Rd Fl 3, Columbus, OH 43212-3117 | 2006-08-30 |
| 1932152162 | Edward Martin Jr. | Surgery | 300 W. 10th Avenue, Columbus, OH 43210 | 2006-05-18 |
| 1497715890 | Helen Catherine Mabry | Surgery | 3120 Glendale Avenue, Toledo, OH 43614-5811 | 2006-03-28 |
| 1184691230 | Jennifer Bryna Katz Manders | Surgery | 4440 Red Bank Road, Suite 200, Cincinnati, OH 45227-2172 | 2006-03-07 |
| 1548259492 | Brenda Jeanne Sickle-santanello | Surgery | 170 Northwoods Blvd Ste 210, Columbus, OH 43235-4711 | 2005-10-13 |
| 1982602363 | William Gress Kraybill Jr. | Surgery | 300 W 10th Ave, Columbus, OH 43210-1280 | 2005-07-11 |
| 1124580204 | Jessica Desalvo | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2019-04-05 |
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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.