MR. STEVEN TODD DIETZMAN (NPI# 1851426753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851426753 |
| Entity Type | Individual |
| Full Name | MR. STEVEN TODD DIETZMAN |
| Credential | LAT |
| Practice Address |
103 South Gibson Street Medford WI 54451 |
| Mailing Address |
135 S Gibson St Medford WI 54451-1622 |
| Practice Telephone | 7157488112 |
| Practice Fax Number | 7157488792 |
| Mailing Telephone | 7157488100 |
| Mailing Fax Number | 7158488199 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
197-039 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
103 SOUTH GIBSON STREET |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1306992854 | Cheryl Joyce Christoffersen | Counselor | 136 W Broadway, Medford, WI 54451 | 2007-01-26 |
| Find all providers in zip 54451 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135069 | Kaitlin Elizabeth Schaaf | Specialist/Technologist | 106 Lincoln Rd, Medford, NY 11763-1660 | 2020-02-07 |
| 1174005490 | Miranda Doyle | Specialist/Technologist | 126 Pine Valley Dr, Medford, NJ 08055-9214 | 2018-09-04 |
| 1508372343 | Kip Patterson | Specialist/Technologist | 600 Tabernacle Rd, Medford, NJ 08055-9732 | 2017-12-15 |
| 1326493222 | Mary-kate Dunne | Specialist/Technologist | 60 Highbridge Blvd, Medford, NJ 08055-3340 | 2016-04-28 |
| 1245645969 | Paul Cicero Jr. | Specialist/Technologist | 264 Bridgeport Ave, Medford, NY 11763-4019 | 2014-06-23 |
| 1124448030 | Michael Stevenson | Specialist/Technologist | 1444 Lawnridge St, Medford, OR 97504-6248 | 2014-04-17 |
| 1538415591 | William John Vonleer | Specialist/Technologist | 235 Hartford Rd, Lenape High School, Medford, NJ 08055-4001 | 2012-07-27 |
| 1881705085 | Mark James Doughtie | Specialist/Technologist | 161 College Ave, Tufts University - Sousens Gym, Medford, MA 02155 | 2006-08-31 |
| 1558391151 | James E Walker | Specialist/Technologist | 489 Winthrop St, Medford, MA 02155-2349 | 2006-07-03 |
| 1205468501 | Danielle Monteiro | Specialist/Technologist | 161 College Ave, Medford, MA 02155-5593 | 2020-02-05 |
| Find all providers in MEDFORD | ||||
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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.