Thomas Russell Dietze (NPI# 1417938713, PAC ID# 3173585601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1417938713 |
| PAC ID by PECOS | 3173585601 |
| Professional Enrollment ID | I20100803000039 |
| Full Name | Thomas Russell Dietze |
| Organization Legal Name | SOUTH TEXAS EYE CONSULTANTS, PLLC |
| Address |
13725 Northwest Blvd Suite C Corpus Christi TX 78410-5124 |
| Phone Number | 3613874911 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9335203611 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670061 | SOUTH TEXAS SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13725 Northwest Blvd, Suite C, Corpus Christi, TX 78410-5124 | 3613874911 | SOUTH TEXAS EYE CONSULTANTS, PLLC |
| 5402 S Staples St, Suite 100, Corpus Christi, TX 78411-4656 | 3619928295 | SOUTH TEXAS EYE CONSULTANTS, PLLC |
| Organization Legal Name | SOUTH TEXAS EYE CONSULTANTS, PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Avila Jr. | Optometry | South Texas Eye Consultants, Pllc | 2222 Morgan Ave, Suite 102, Corpus Christi, TX 78405-1998 |
| Nathan Walker | Optometry | South Texas Eye Consultants, Pllc | 5402 S Staples St, Suite 100, Corpus Christi, TX 78411-4656 |
| Shahed Y Ghoghawala | Ophthalmology | South Texas Eye Consultants, Pllc | 2222 Morgan Ave, Suite 102, Corpus Christi, TX 78405-1998 |
| Street Address |
13725 NORTHWEST BLVD SUITE C |
| City | CORPUS CHRISTI |
| State | TX |
| Zip | 78410-5124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Truman John Milling Jr. | Emergency Medicine | Pinnacle Emergency Group Pa | 13725 Northwest Blvd, Corpus Christi, TX 78410-5127 |
| Michael S Lovoi | Internal Medicine | 13725 Northwest Blvd, Suite 260, Corpus Christi, TX 78410-5123 | |
| Trenten Lee Martinez | Emergency Medicine | Pinnacle Emergency Group Pa | 13725 Northwest Blvd, Corpus Christi, TX 78410-5127 |
| Sean P Hopper | Emergency Medicine | Pinnacle Emergency Group Pa | 13725 Northwest Blvd, Corpus Christi, TX 78410-5127 |
| Mark D Rasmusson | Internal Medicine | 13725 Northwest Blvd, Suite 12, Corpus Christi, TX 78410-5124 | |
| Angela M Kastl | Nurse Practitioner | Pinnacle Emergency Group Pa | 13725 Northwest Blvd, Corpus Christi, TX 78410-5127 |
| Sylwia Kolodziejczyk | Nurse Practitioner | Pinnacle Emergency Group Pa | 13725 Northwest Blvd, Corpus Christi, TX 78410-5127 |
| Catherine G Yeung | Emergency Medicine | Pinnacle Emergency Group Pa | 13725 Northwest Blvd, Corpus Christi, TX 78410-5127 |
| Kent E. Tompkins | Family Medicine | 13725 Northwest Blvd, Suite 15, Corpus Christi, TX 78410-5124 | |
| Michael Schiop | Podiatry | 13725 Northwest Blvd, Medical Plaza 1 Office 6, Corpus Christi, TX 78410-5127 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly A Sullivan | Physical Therapy | Fisher Physical Therapy, Pllc | 14041 Nw Blvd, Suite 4, Corpus Christi, TX 78410 |
| Roger M Sifuentes | Family Medicine | 10838 Leopard St, Corpus Christi, TX 78410-2607 | |
| Ellis Gerard Main | Family Medicine | 3022 Mckinzie Rd, Corpus Christi, TX 78410-2628 | |
| James K Rose | Family Medicine | 11559 Leopard St, Corpus Christi, TX 78410-3415 | |
| Mary K Alsup | Optometry | 3829 Interstate Hwy 69 Access Rd, Corpus Christi, TX 78410-4525 | |
| William Curtis | Family Medicine | William G Curtis, Md Pa | 3945 Ih 69 Access Rd, Corpus Christi, TX 78410-4531 |
| Ron J Guevara | Family Medicine | William G Curtis, Md Pa | 3945 Ih 69 Access Rd, Corpus Christi, TX 78410-4531 |
| Laura E Picha | Physical Therapy | Humpal Physical Therapy, P.C. | 4040 Five Points Rd, Corpus Christi, TX 78410-4538 |
| Patricia Barrera | Physical Therapy | Humpal Physical Therapy, P.C. | 4040 Five Points Rd, Corpus Christi, TX 78410-4538 |
| William A Crisp | Optometry | Five Points Eyecare Pllc | 4101 Ih 69 Access Rd, Suite B3, Corpus Christi, TX 78410-4543 |
| Find all physicians in zip 78410 | |||
| City | CORPUS CHRISTI |
| Zip Code | 78410 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CORPUS CHRISTI + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Thomas Russell Dietze.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.