Dierich Mark Kaiser (NPI# 1205990256, PAC ID# 6901943513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1205990256 |
| PAC ID by PECOS | 6901943513 |
| Professional Enrollment ID | I20100811000961 |
| Full Name | Dierich Mark Kaiser |
| Organization Legal Name | WESTERN TIDEWATER COMMUNITY SERVICES BOARD |
| Address |
1000 Commercial Ln Suffolk VA 23434-8148 |
| Phone Number | 7572557120 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2961476114 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1300 E Marshall St, Richmond, VA 23298-5054 | 8048286828 | MCV ASSOCIATED PHYSICIANS |
| 1802 Braeburn Dr, Salem, VA 24153-7357 | 5407723400 | LEWIS GALE PHYSICIANS LLC |
| 1000 Commercial Ln, Suffolk, VA 23434-8148 | 7572557120 | WESTERN TIDEWATER COMMUNITY SERVICES BOARD |
| Organization Legal Name | WESTERN TIDEWATER COMMUNITY SERVICES BOARD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latoya N Edwards | Clinical Social Worker | Western Tidewater Community Services Board | 135 S Saratoga St, Suffolk, VA 23434-5322 |
| Frank A Roberto | Psychiatry | Western Tidewater Community Services Board | 5268 Godwin Blvd, Suffolk, VA 23434-8114 |
| Luis F Ignacio | Psychiatry | Western Tidewater Community Services Board | 1000 Commercial Ln, Suffolk, VA 23434-8148 |
| Anthony D Hoskins | Clinical Social Worker | Western Tidewater Community Services Board | 5268 Godwin Blvd, Suffolk, VA 23434-8114 |
| Brian Eugene Preston | Clinical Social Worker | Western Tidewater Community Services Board | 5268 Godwin Blvd, Suffolk, VA 23434-8114 |
| Melissa Faith Gross | Psychiatry | Western Tidewater Community Services Board | 5268 Godwin Blvd, Suffolk, VA 23434-8114 |
| Robert T Obyrne | Nurse Practitioner | Western Tidewater Community Services Board | 1000 Commercial Ln, Suffolk, VA 23434-8148 |
| Street Address |
1000 COMMERCIAL LN |
| City | SUFFOLK |
| State | VA |
| Zip | 23434-8148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis F Ignacio | Psychiatry | Western Tidewater Community Services Board | 1000 Commercial Ln, Suffolk, VA 23434-8148 |
| Robert T Obyrne | Nurse Practitioner | Western Tidewater Community Services Board | 1000 Commercial Ln, Suffolk, VA 23434-8148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tysheena Lanee Jones | Nurse Practitioner | 4209 Ravine Gap Dr, Suffolk, VA 23434-3055 | |
| Geranameo Vladmire Bullock | Psychiatry | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
| Lakeisha Keneti | Nurse Practitioner | Charis Mental Health Pllc | 2470 Pruden Blvd, Suffolk, VA 23434-4206 |
| Thamiris V Palacios-kibler | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| Alice V Wilkins-bryson | Nurse Practitioner | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| John R Sweeney Jr. | Allergy/immunology | John R. Sweeney, Jr., M.d. Pllc | 2453 Pruden Blvd, Suffolk, VA 23434-4235 |
| Brandee Leigh Winkler | Physician Assistant | Maryview Hospital | 2012 Meade Pkwy, Suffolk, VA 23434-4259 |
| Gary Brinkley | Physician Assistant | Franklin Clinic Corp | 2000 Meade Pkwy, Suffolk, VA 23434-4259 |
| Gary Sajko | Ophthalmology | Schneider Eye Physicians P C | 2016 Meade Pkwy, Suffolk, VA 23434-4259 |
| Susan C Vick | Occupational Therapy | Tidewater Physical Therapy LLC | 2007 Meade Pkwy, Suffolk, VA 23434-4259 |
| Find all physicians in zip 23434 | |||
| City | SUFFOLK |
| Zip Code | 23434 |
| Specialty | PSYCHIATRY |
| City + Specialty | SUFFOLK + PSYCHIATRY |
Please comment or provide details below to improve the information on Dierich Mark Kaiser.
| 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.