WILLIAM A DIETZ


Address: 96 Campus Dr, Suite 1, Scarborough, ME 04074-7133
Phone: 2073965611

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
MD14792 ME Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ME 314890099 05

Office Location

Street Address 96 CAMPUS DR
SUITE 1
City SCARBOROUGH
State ME
Zip Code 04074-7133

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

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)

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City SCARBOROUGH
Zip Code 04074

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Dataset Information

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.

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