AUSTIN JACOB DITTRICH (NPI# 1437799590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437799590 |
| Entity Type | Individual |
| Full Name | AUSTIN JACOB DITTRICH |
| Credential | PA |
| Practice Address |
811 W Interstate 20 Ste 114 Arlington TX 76017-5871 |
| Mailing Address |
2801 Gateway Dr Ste 100 Irving TX 75063-2694 |
| Practice Telephone | 8177848268 |
| Practice Fax Number | 8178048178 |
| Mailing Fax Number | 8174194605 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13091 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
811 W INTERSTATE 20 STE 114 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-5871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255327383 | Mark Alan Mccurdy | Urology | 811 W Interstate 20 Ste 114, Arlington, TX 76017 | 2005-09-23 |
| 1477997690 | Samir Derisavifard | Urology | 811 W Interstate 20 Ste 114, Arlington, TX 76017-5871 | 2013-04-18 |
| 1780655175 | Ebenezer O Babalola | Obstetrics & Gynecology | 811 W Interstate 20 Ste 114, Arlington, TX 76017-5871 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1487263059 | Zoe Alanna Riecker | Physician Assistant | 1045 N Utah St Apt 601, Arlington, VA 22201-5754 | 2020-07-29 |
| 1194375360 | Casey Ann Cohen | Physician Assistant | 69 Princeton Rd, Arlington, MA 02474-8252 | 2019-09-18 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| 1598226920 | Huong Truong-hoai Pham | Physician Assistant | 4860 Matlock Rd Ste 140, Arlington, TX 76018-5657 | 2019-03-28 |
| 1841756434 | Ailey Pham | Physician Assistant | 800 W Arbrook Blvd Ste 100, Arlington, TX 76015-4316 | 2019-02-19 |
| 1972081164 | Anastasia Elizabeth Grebeck | Physician Assistant | 200 N Glebe Rd Ste 316, Arlington, VA 22203-3755 | 2018-07-31 |
| 1740789106 | Brentton Tyler Lowery | Physician Assistant | 200 E Division St, Arlington, TX 76011-7507 | 2018-02-12 |
| 1669907762 | Brittany Christopher | Physician Assistant | 1625 N George Mason Dr Ste 315, Arlington, VA 22205-3690 | 2017-04-26 |
| 1477096345 | Jennifer Hinders | Physician Assistant | 11779 Village Center St, Arlington, TN 38002-5893 | 2016-11-28 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on AUSTIN JACOB DITTRICH.
| 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.