WILLIAM PAUL DIEFENBACH (NPI# 1740268812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740268812 |
| Entity Type | Individual |
| Full Name | WILLIAM PAUL DIEFENBACH |
| Credential | MD |
| Practice Address |
2374 Village Common Dr Ste 100 Erie PA 16506-7201 |
| Practice Telephone | 8148337246 |
| Practice Fax Number | 8148331147 |
| Mailing Telephone | 8148337246 |
| Mailing Fax Number | 8148331147 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD050177L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001421230 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 S Main St Ste 130, Jamestown, NY 147016626 | 7164832174 | |
| 2315 Myrtle St Ste L90, Erie, PA 165024607 | 8144527575 |
| Street Address |
2374 VILLAGE COMMON DR STE 100 |
| City | ERIE |
| State | PA |
| Zip Code | 16506-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326298423 | Greater Erie Surgery Center, LLC | Clinic/Center | 2374 Village Common Dr, Suite 200, Erie, PA 16506-7201 | 2008-09-25 |
| 1073771515 | Jung-woo Ma | Physical Medicine & Rehabilitation | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 | 2008-05-31 |
| 1215106323 | Tri-state Pain Institute LLC | Physical Medicine & Rehabilitation | 2374 Village Common Dr, Suite 100, Erie, PA 16506-7201 | 2008-02-22 |
| 1598707838 | Physical Therapy Services of Erie, LLC | Specialist | 2374 Village Common Dr, Suite 101, Erie, PA 16506-7201 | 2006-06-12 |
| 1245271568 | Joseph Martin Thomas | Anesthesiology | 2374 Village Common Dr, Erie, PA 16506-7201 | 2006-06-09 |
| 1043250764 | Glenn Daniel Labrozzi | Physical Therapist | 2374 Village Common Dr, Suite 101, Erie, PA 16506-7201 | 2006-06-08 |
| 1114982543 | Mary K Benedict | Physical Therapist | 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093019424 | Francis Kirkwood Mainzer | Neurological Surgery | 1149 Spring Valley Dr, Erie, PA 16509-2950 | 2010-12-28 |
| 1215172119 | Richard Norton Hall | Neurological Surgery | 6353 Meadowrue Ln, Erie, PA 16505-1026 | 2008-12-05 |
| 1740286699 | Phillip V Mcallister | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-06-24 |
| 1861498008 | Daniel Vincent Loesch | Neurological Surgery | 120 E 2nd St Ste 401, Erie, PA 16507-1577 | 2005-06-22 |
| 1912414707 | Salem A El-zuway | Neurological Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2018-01-03 |
| 1477938413 | Gregory N Bowden | Neurological Surgery | 300 State St Ste 401, Erie, PA 16507-1438 | 2015-07-20 |
| 1528497948 | Derrick Andrew Dupre | Neurological Surgery | 1910 Sassafras St Ste 300, Erie, PA 16502 | 2013-11-06 |
| 1942363445 | Raymond F Sekula Jr. | Neurological Surgery | 201 State St, 8th Floor, Erie, PA 16550-0002 | 2006-12-18 |
| 1598850414 | Saint Vincent Medical Education and Research Institute | Neurological Surgery | 1910 Sassafras St, Suite 300, Erie, PA 16502-2716 | 2006-10-04 |
| 1154343218 | Arturo Camacho | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-07-24 |
| Find all providers in ERIE | ||||
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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.