WILLIAM A DIETZ (NPI# 1528048964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528048964 |
Entity Type | Individual |
Full Name | WILLIAM A DIETZ |
Credential | M.D. |
Practice Address |
96 Campus Dr Suite 1 Scarborough ME 04074-7133 |
Mailing Address |
301c Us Route 1 Scarborough ME 04074-9701 |
Practice Telephone | 2073965611 |
Mailing Telephone | 2073968600 |
Mailing Fax Number | 2073968632 |
Enumeration Date | 2006-01-20 |
Last Update Date | 2012-08-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD14792 | ME | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 314890099 | 05 |
Street Address |
96 CAMPUS DR SUITE 1 |
City | SCARBOROUGH |
State | ME |
Zip Code | 04074-7133 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346240033 | Brooke Sears Ritvo | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2005-07-26 |
1356954523 | Brittany Ann Giroux | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-08-27 |
1184252264 | Daniel Adam Svenson | Registered Nurse | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-04-01 |
1780218057 | Melinda Cormier | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2020-02-26 |
1659931806 | Lisa Conway | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-06-19 |
1447714803 | Nicole L Laude | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-01-29 |
1477027019 | Kathryn Anne Ryan | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2019-01-16 |
1477066892 | Molly E Montgomery | Nurse Practitioner | 96 Campus Dr, Scarborough, ME 04074-7163 | 2017-11-07 |
1578016499 | Katharine Kennesaw Richards | Nurse Practitioner | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2016-07-27 |
1346599958 | Brooke K Maden | Physician Assistant | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7163 | 2012-08-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
Find all providers in zip 04074 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063709400 | Szymon Lukasz Wiernek | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074-7163 | 2011-07-06 |
1629363742 | Colin Thomas Phillips | Internal Medicine | 96 Campus Dr, Scarborough, ME 04074 | 2011-06-16 |
1326019563 | Thomas J Ryan Jr. | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074 | 2006-01-27 |
1023088218 | Mirle A Kellett | Internal Medicine | 96 Campus Dr, Suite 1, Scarborough, ME 04074-7133 | 2006-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467573659 | Arun Thukkani | Internal Medicine | 60 High St, Lewiston, ME 04240-7616 | 2007-04-03 |
1821069402 | Paul R. Vomeigen | Internal Medicine | 1 Northeast Dr, Bangor, ME 04401-4332 | 2006-01-31 |
1871564468 | Matthew S. Mckay | Internal Medicine | 1 Northeast Dr, Bangor, ME 04401-4332 | 2006-01-31 |
1700866142 | Peter J Higgins | Internal Medicine | 60 High St, Lewiston, ME 04240-7616 | 2006-01-20 |
1669451878 | William Phillips | Internal Medicine | 60 High St, Lewiston, ME 04240-7616 | 2006-01-16 |
City | SCARBOROUGH |
Zip Code | 04074 |
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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.