MR. JOHN CALVIN DEITZ (NPI# 1649333618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649333618 |
| Entity Type | Individual |
| Full Name | MR. JOHN CALVIN DEITZ |
| Credential | BS RDGS RDCS RVT |
| Practice Address |
1258 Old Jordan Rd Holland PA 18966-2607 |
| Practice Telephone | 2153222943 |
| Practice Fax Number | 2153223011 |
| Mailing Telephone | 2153222943 |
| Mailing Fax Number | 2153223011 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 246Y00000X | Spec/Tech, Health Info | Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1258 OLD JORDAN RD |
| City | HOLLAND |
| State | PA |
| Zip Code | 18966-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235261629 | Diagraphics | Spec/Tech, Cardiovascular | 1258 Old Jordan Rd, Holland, PA 18966-2607 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235261629 | Diagraphics | Spec/Tech, Cardiovascular | 1258 Old Jordan Rd, Holland, PA 18966-2607 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349720 | Alexander Razumovsky | Spec/Tech, Cardiovascular | 2075 Greenbriar Rd, York, PA 17404-9132 | 2020-05-29 |
| 1194345595 | Lauren Gaita | Spec/Tech, Cardiovascular | 54 Cardox Rd, Finleyville, PA 15332-9608 | 2020-04-26 |
| 1376094524 | Lise Fishman | Spec/Tech, Cardiovascular | 641 W Wiltshire Dr, Wallingford, PA 19086-6905 | 2016-10-21 |
| 1134522410 | Tk Diagnostic LLC | Spec/Tech, Cardiovascular | 51 Raymaley Rd, Harrison City, PA 15636 | 2014-10-01 |
| 1336305218 | Tom Gradowski Jr. | Spec/Tech, Cardiovascular | 2103 E Darby Rd, Havertown, PA 19083-2409 | 2008-07-31 |
| 1437377991 | Rr Pace Maker Evaluation Clinic | Spec/Tech, Cardiovascular | 225 S River St, Plains, PA 18705-1123 | 2007-04-23 |
| 1346381852 | Sab Group Inc. | Spec/Tech, Cardiovascular | 55 Addis Dr, Churchville, PA 18966-1167 | 2007-02-08 |
| 1124169644 | Gideon M Roquiz | Spec/Tech, Cardiovascular | 5205 Coventry Dr, Erie, PA 16506-6107 | 2007-02-08 |
| 1346202561 | Cardiac Ultrasound, Inc | Spec/Tech, Cardiovascular | 631 Sanderson St, Throop, PA 18512-1255 | 2006-04-04 |
| 1497372437 | Aleksandr Dzhanashvili | Spec/Tech, Cardiovascular | 2075 Greenbriar Rd, York, PA 17404-9132 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.