DR. JOYCE A DIETRICH (NPI# 1902844962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844962 |
| Entity Type | Individual |
| Full Name | DR. JOYCE A DIETRICH |
| Credential | M.D. |
| Practice Address |
4924 Campbell Blvd Suite 200 Baltimore MD 21236-5908 |
| Mailing Address |
3100 Wyman Park Dr Baltimore MD 21211-2803 |
| Practice Telephone | 4434422300 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D57257 | MD | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | D57257 | MD | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | D57257 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 690401700 | 05 |
| Street Address |
4924 CAMPBELL BLVD SUITE 200 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21236-5908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415388 | Tigist Hailu | Internal Medicine | 4924 Campbell Blvd, Ste 110, Baltimore, MD 21236-5908 | 2005-05-31 |
| 1750676904 | Nicole Marie Blake | Physical Therapist | 4924 Campbell Blvd, Baltimore, MD 21236-5908 | 2011-06-16 |
| 1558652776 | Thomas Adams Corson | Internal Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2011-04-21 |
| 1497055123 | Virginia E. Conner | Physician Assistant | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2010-10-28 |
| 1952615791 | Erin Lindsay Johnson | Physical Therapist | 4924 Campbell Blvd, Ste 130-a, Baltimore, MD 21236-5908 | 2010-08-04 |
| 1922251701 | Patient First Maryland Medical Group, Pllc | Non-Pharmacy Dispensing Site | 4924 Campbell Blvd, Ste 125, Baltimore, MD 21236-5908 | 2008-10-24 |
| 1952552267 | Patient First Maryland Medical Group Pllc | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-10-06 |
| 1023272747 | Jason Donald Main | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1376707000 | Alexander Marcus Steiner | Physical Therapist | 4924 Campbell Blvd, Suite 130-a, Baltimore, MD 21236-5908 | 2008-07-11 |
| 1164699310 | Nana Yaw Ampaw Adu-sarkodie | Family Medicine | 4924 Campbell Blvd, Suite 125, Baltimore, MD 21236-5908 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662828 | Federal Hill Medical Center | Family Medicine | 724 A Light Street, Baltimore, MD 21230-3850 | 2020-02-24 |
| 1265071278 | Marketing and Medical Services LLC | Family Medicine | 3001 S Hanover St Ste 201, Baltimore, MD 21225-1233 | 2019-12-23 |
| 1871134783 | Tysheka Cephas | Family Medicine | 5951 Schering Rd, Baltimore, MD 21206-3144 | 2019-10-02 |
| 1740712330 | Julia Sarah Maria Silva | Family Medicine | 29 S Paca St Dept Of, Baltimore, MD 21201-1771 | 2017-04-01 |
| 1275071375 | Martina P Callum M.d., LLC | Family Medicine | 1900 E Northern Pkwy Ste 3a, Baltimore, MD 21239-2113 | 2017-02-08 |
| 1992134738 | Your Health Network, Inc. | Family Medicine | 3000 Falls Rd, Suite 1, Baltimore, MD 21211-2435 | 2013-11-02 |
| 1124370788 | Phung Lieu Levin | Family Medicine | 920 Newington Ave, Baltimore, MD 21217-4631 | 2012-10-08 |
| 1912264441 | Katherine Stolarz | Family Medicine | 9101 Franklin Square Dr Ste 300, Baltimore, MD 21237-3966 | 2012-04-22 |
| 1760758684 | Peter Michael Burkill | Family Medicine | 6535 N Charles St Ste 100, Baltimore, MD 21204-5828 | 2012-03-25 |
| 1083997860 | Manisha A Sharma | Family Medicine | 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 | 2011-09-28 |
| Find all providers in BALTIMORE | ||||
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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.