FREDERICK DIETZ (NPI# 1235249426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235249426 |
| Entity Type | Individual |
| Full Name | FREDERICK DIETZ |
| Credential | MD |
| Practice Address |
2300 N Rockton Ave Rockford IL 61103-3619 |
| Practice Telephone | 8159712000 |
| Mailing Telephone | 8159712000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036-050026 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036050026 | 05 |
| Street Address |
2300 N ROCKTON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394696 | Affiliated Surgeons of Rockford LLC | Surgery | 2300 N Rockton Ave, Ste 304, Rockford, IL 61103-3619 | 2005-05-24 |
| 1538768056 | Patti J Wakefield | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-10-26 |
| 1235759192 | Kathryn N Norup | Physical Therapy Assistant | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2020-04-21 |
| 1407401912 | Eric Paulos | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-08-02 |
| 1013479575 | Jennifer Davidson | Occupational Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-04-03 |
| 1508321597 | Megan Lee Haas | Physical Therapist | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2019-02-05 |
| 1336634179 | Molly C Grosvenor | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-06-25 |
| 1750870291 | Lori Ann Moroz | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-05-09 |
| 1063914760 | Erika J Oltmanns | Dietitian, Registered | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2018-03-08 |
| 1578074753 | Dennis Durano Magdadaro | Nurse Practitioner | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2017-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306880414 | Rockford Orthopedic Associates, Ltd. | Internal Medicine | 324 Roxbury Road, Rockford, IL 61107-5090 | 2006-06-16 |
| 1497098636 | Saad Tariq | Internal Medicine | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2013-04-05 |
| 1578636692 | Andrzej M Jasek | Internal Medicine | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2006-11-16 |
| 1255441440 | Frank A. Ventimiglia | Internal Medicine | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-08-30 |
| 1033229224 | Robin R. Hovis | Internal Medicine | 2300 N Rockton Ave, Rockford, IL 61103-3619 | 2006-08-30 |
| 1235245622 | Richard R. Olson | Internal Medicine | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2006-08-21 |
| 1730136474 | Rockford Orthopedic Associates, Ltd. | Internal Medicine | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988345 | Bashir Holdings | Internal Medicine | 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 | 2020-06-29 |
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1255776860 | Alexander Geevarghese | Internal Medicine | 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 | 2013-05-08 |
| 1285078766 | Sheela Metgud | Internal Medicine | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-04-26 |
| 1043551500 | Nisha Dsilva | Internal Medicine | 10 Martin Ave Ste 140, Naperville, IL 60540 | 2013-03-08 |
| 1255694675 | Heena Aditya Birbal Jain | Internal Medicine | 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 | 2012-06-20 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1699921353 | Anna A. Stanislaus | Internal Medicine | 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 | 2008-08-13 |
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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.