DR. JEFFREY ALAN DITESHEIM (NPI# 1780660019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780660019 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALAN DITESHEIM |
| Credential | M.D. |
| Practice Address |
9336 Blakeney Center Drive Suite 130 Charlotte NC 28277 |
| Practice Telephone | 7045428686 |
| Practice Fax Number | 7045428696 |
| Mailing Telephone | 7045428686 |
| Mailing Fax Number | 7045428696 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
9501222 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
9336 BLAKENEY CENTER DRIVE SUITE 130 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528575594 | Schneider, D.d.s.& Kye, D.d.s., Pa | Clinic/Center | 9336 Blakeney Center Drive, Suite 100-a, Charlotte, NC 28277-2827 | 2017-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730349820 | Snehankita Kulkarni | Surgery | 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204-2963 | 2008-06-11 |
| 1386822484 | Edward Teng | Surgery | 1025 Morehead Medical Dr, Ste 200, Charlotte, NC 28204-2963 | 2008-01-31 |
| 1972704708 | Scott Don | Surgery | 335 Billingsley Rd, Suite 103, Charlotte, NC 28211-1040 | 2007-05-30 |
| 1255545026 | Joseph Paul Hunstad | Surgery | 8605 Cliff Cameron Dr, Suite 100, Charlotte, NC 28269-0014 | 2007-05-10 |
| 1043346570 | Robert Gordon Graper | Surgery | 2915 Coltsgate Rd, Ste 103, Charlotte, NC 28211 | 2007-02-26 |
| 1255435988 | James Neil Shearer | Surgery | 2711 Randolph Rd, Suite # 502, Charlotte, NC 28207-2027 | 2006-09-12 |
| 1558300301 | Calabretta Cosmetic Surgery Center Pllc | Surgery | 1918 Randolph Rd, Ste 850 Calabretta Cosmetic Surgery Center Pllc, Charlotte, NC 28207 | 2006-06-06 |
| 1629017470 | Arthur M Calabretta | Surgery | 1918 Randolph Rd, Ste 850 Calabretta Cosmetic Surgery Center Pllc, Charlotte, NC 28207 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813753 | Kds Aesthetics, Pllc | Surgery | 2806b Wooten Blvd., Wilson, NC 27893-8624 | 2019-04-22 |
| 1124681689 | Cami Surgery Center, Pllc | Surgery | 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 | 2019-04-19 |
| 1154777936 | Shuting Zhong | Surgery | 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 | 2016-05-10 |
| 1205216173 | Henry Neale Sr. | Surgery | 117 Shenandoah Terrace, Montreat, NC 28757 | 2015-06-04 |
| 1689940603 | Asheville Aesthetic Plastic Surgery | Surgery | 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 | 2012-03-23 |
| 1245428358 | Jeyhan S Wood | Surgery | 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 | 2007-10-15 |
| 1255528477 | Rutherford Hospital, Inc. | Surgery | 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | 2007-10-02 |
| 1215144670 | David Hardman Harley | Surgery | 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 | 2007-05-16 |
| 1043356868 | Tor Martin Ljung | Surgery | 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 | 2007-01-29 |
| 1669538971 | Southland Plastic Surgery | Surgery | 501 North Aspen St, Lincolnton, NC 28092-2105 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JEFFREY ALAN DITESHEIM.
| 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.