RON DIECKMANN (NPI# 1306973615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306973615 |
Entity Type | Individual |
Full Name | RON DIECKMANN |
Other Name | RONALD ALBERT DIECKMANN |
Credential | M.D. |
Practice Address |
5843 Buena Vista Ave Oakland CA 94618-2122 |
Practice Telephone | 5102131815 |
Practice Fax Number | 5102131815 |
Mailing Telephone | 5102131815 |
Mailing Fax Number | 5102131815 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2011-09-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | G36970 | CA | Allopathic & Osteopathic Physicians |
N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
G36970 | CA | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | G36970 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G369700 | 05 |
Street Address |
5843 BUENA VISTA AVE |
City | OAKLAND |
State | CA |
Zip Code | 94618-2122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487269031 | Philip A Tecau | Marriage & Family Therapist | 5120 Miles Ave, Oakland, CA 94618 | 2020-09-10 |
1881241362 | Mycal Moxley | Behavior Technician | 5330 College Avenue, Suite 240, Oakland, CA 94618 | 2019-08-20 |
1073174058 | Joyce Lindenbaum | Psychologist | 5435 College Ave., Ste 202, Oakland, CA 94618 | 2019-06-21 |
1740597806 | Alissa Warren Kimmell | Social Worker | 5297 College Ave Suite 106, Oakland, Ca., Oakland, CA 94618 | 2010-09-09 |
1811127749 | Edna Jeannene Bohannon | Marriage & Family Therapist | 5299 - College Ave., Suite 6, Oakland, CA 94618 | 2009-07-27 |
1942465141 | David Michael Poole | Counselor | 6295 Chabot Road, Oakland, CA 94618 | 2008-07-28 |
1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
1124201116 | Angela K. Shaiman | Marriage & Family Therapist | 5349 College Avenue, Oakland, CA 94618 | 2007-12-12 |
1639376965 | Catherine S Cassel | Social Worker | Suite 202-5, 5435 College Ave, Oakland, CA 94618 | 2007-06-29 |
1194936443 | Wendelin Leonard | Psychologist | 5309 College Avenue, Oakland, CA 94618 | 2007-05-25 |
Find all providers in zip 94618 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801418710 | Tn Tele Md PC | Emergency Medicine | 578 Ivy Dr, Oakland, TN 38060-3132 | 2020-05-13 |
1851779870 | Graham Becherer-bailey | Emergency Medicine | Highland Hospital Emergency Department, 1411 East 31st. Ave., Oakland, CA 94602 | 2015-05-11 |
1366702391 | Katherine Farmer | Emergency Medicine | 275 Macarthur Blvd, Oakland, CA 94610-3178 | 2012-05-24 |
1003128364 | Daniel Mantuani | Emergency Medicine | 1506 4th Ave Apt 5, Apt 5, Oakland, CA 94606-2351 | 2010-07-02 |
1205154549 | Andrea Xuxia Durant | Emergency Medicine | 4096 Piedmont Ave # 708, Oakland, CA 94611-5221 | 2010-05-11 |
1285871798 | Brita Elise Zaia | Emergency Medicine | 1141 East 31st St., Department of Emergency Medicine, Oakland, CA 94602-1018 | 2009-01-21 |
1952547937 | Naomi Victoria Marks | Emergency Medicine | 1411 E. 31st St., Emergency Dept, Oakland, CA 94602 | 2008-12-23 |
1336309582 | Louis Christopher Rivera | Emergency Medicine | 645 El Dorado Ave, Apt 304, Oakland, CA 94611-5082 | 2008-06-11 |
1649469701 | Christopher Adam Walker | Emergency Medicine | 100 Grand Ave, Apt 1711, Oakland, CA 94612-3078 | 2007-10-15 |
1447477906 | Kelley Renae Feeley | Emergency Medicine | 280 W. Mac Arthur Blvd, Emergency Department, Oakland, CA 94611 | 2007-04-19 |
Find all providers in OAKLAND |
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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.