DR. MARTIN FREDERIK DIETRICH (NPI# 1669790119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669790119 |
| Entity Type | Individual |
| Full Name | DR. MARTIN FREDERIK DIETRICH |
| Credential | M.D., PH.D. |
| Practice Address |
894 E Altamonte Dr Altamonte Springs FL 32701-5002 |
| Practice Telephone | 4078345151 |
| Practice Fax Number | 4078345562 |
| Mailing Telephone | 4078345151 |
| Mailing Fax Number | 4078345562 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2017-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME128710 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018189900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 330281046 | 9542654325 | 9544434747 |
| Street Address |
894 E ALTAMONTE DR |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210263 | Robert B Reynolds | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2005-07-29 |
| 1427472372 | Genevieve Baranuk | Social Worker | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2014-02-13 |
| 1093988487 | Wassim Mchayleh | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2008-04-08 |
| 1588854285 | Central Florida Rehabilitation Institute LLC | Physical Medicine & Rehabilitation | 894 E Altamonte Dr, Suite 320, Altamonte Springs, FL 32701-5002 | 2007-07-28 |
| 1891850673 | Krystyna Marie Barinas | Physician Assistant | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2006-12-22 |
| 1013076298 | Cancer Institute of Florida Pa | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2006-12-06 |
| 1447268297 | Ahmed Zakari | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2006-08-04 |
| 1073506341 | Raul C Castillo | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
| Find all providers in zip 32701 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831240357 | Paul Robert Garrett Jr. | Internal Medicine | 115 Boston Ave, Suite 2300, Altamonte Springs, FL 32701-5901 | 2007-01-12 |
| 1043210263 | Robert B Reynolds | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2005-07-29 |
| 1093988487 | Wassim Mchayleh | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2008-04-08 |
| 1841482270 | Ahmed Al-hazzouri | Internal Medicine | 601 E Altamonte Dr, Altamonte Springs, FL 32701-4802 | 2007-08-09 |
| 1013076298 | Cancer Institute of Florida Pa | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2006-12-06 |
| 1457316341 | Ralph Gousse | Internal Medicine | 601 E Altamonte Dr, Altamonte Springs, FL 32701-4802 | 2006-04-20 |
| 1568459006 | Linda F Lukman | Internal Medicine | 661 E Altamonte Dr, Suite 312, Altamonte Springs, FL 32701-5105 | 2005-09-30 |
| 1073506341 | Raul C Castillo | Internal Medicine | 894 E Altamonte Dr, Altamonte Springs, FL 32701-5002 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
Please comment or provide details below to improve the information on DR. MARTIN FREDERIK DIETRICH.
| 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.