DR. JOSEPH ANTHONY DIETERLE JR. (NPI# 1467475202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467475202 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH ANTHONY DIETERLE JR. |
| Credential | D.O. |
| Practice Address |
112 First St. Oxford MD 21654-0532 |
| Mailing Address |
Box 532 112 First St. Oxford MD 21654-0532 |
| Practice Telephone | 4102260013 |
| Practice Fax Number | 4102260013 |
| Mailing Telephone | 4102260013 |
| Mailing Fax Number | 4102260013 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | H0060132 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2290502 | 05 |
| Street Address |
112 FIRST ST. |
| City | OXFORD |
| State | MD |
| Zip Code | 21654-0532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164438131 | George Tams Curlin | Internal Medicine | 108 Pleasant St., Oxford, MD 21654-0035 | 2006-07-31 |
| 1134496805 | Lawrence David Bohan | Internal Medicine | 5665 Deepwater Dr, Oxford, MD 21654-1508 | 2011-11-24 |
| 1609164318 | Ann Heroy Webb | Family Medicine | 4504 World Farm Rd, Oxford, MD 21654-1615 | 2011-07-14 |
| 1477609170 | Suzanne Fischer | Counselor | 4734 Sailors Retreat Ct, Oxford, MD 21654-1745 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235333 | Ann Elizabeth Sutherland | Pharmacist | 9038 Coatbridge Dr, Oxford, MS 38655-7396 | 2020-11-05 |
| 1447850508 | Butler County Community Health Consortium, Inc. | Counselor | 3260 Oxford Millville Rd Ste B, Oxford, OH 45056-9430 | 2020-10-28 |
| 1174123566 | Lisa Kincaid Odom | Pharmacist | 218 Woodland Hills Dr, Oxford, MS 38655-9770 | 2020-10-27 |
| 1962001693 | Joseph Prendergast | Nurse Practitioner | 5 Jasmine Rd, Oxford, MA 01540-3304 | 2020-10-23 |
| 1841899978 | Kbccms, LLC | Counselor | 1501 Jackson Ave W Ste 113, Oxford, MS 38655-2566 | 2020-10-20 |
| 1508464181 | Meredith Sanford | Pediatrics | 101 Farm View Dr, Oxford, MS 38655-7728 | 2020-10-15 |
| 1588262331 | Emmarose Malone Dwyer | Case Manager/Care Coordinator | 3843 Thomas Rd, Oxford, MI 48371-1556 | 2020-10-14 |
| 1558968180 | Caremed Ems, LLC | Ambulance | 1300 Access Rd Ste 200, Oxford, MS 38655-5211 | 2020-10-06 |
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1215542592 | Christine King | Psychologist | 4200 Lake Knolls Dr, Oxford, MI 48371-5411 | 2020-09-13 |
| Find all providers in OXFORD | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464181 | Meredith Sanford | Pediatrics | 101 Farm View Dr, Oxford, MS 38655-7728 | 2020-10-15 |
| 1477870822 | Catherine Durst Phillips | Pediatrics | 2682 W Oxford Loop Ste 130, Oxford, MS 38655-5441 | 2010-04-26 |
| 1295960623 | Harry Goff Carpenter Jr. | Pediatrics | 5 Loon Ln, Oxford, ME 04270-4836 | 2009-05-29 |
| 1457447815 | Robert T Carsley | Pediatrics | 230 Timber Ln, Oxford, MS 38655-5850 | 2006-10-05 |
| 1366451049 | Tanya Jean Fitts | Pediatrics | 2166 S Lamar Blvd, Oxford, MS 38655-5224 | 2006-08-05 |
| 1538131594 | Jonathan S. C. Caudill | Pediatrics | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2006-02-03 |
| 1477551042 | William J Logeman | Pediatrics | 5141 Morning Sun Rd, Oxford, OH 45056-9629 | 2005-07-08 |
| 1093713695 | Granville Family Medicine Pa | Pediatrics | 103 Professional Park Ste A, Oxford, NC 27565-2581 | 2005-07-08 |
| 1487205829 | Phillips Pediatrics, LLC | Pediatrics | 2682 W Oxford Loop Ste 130, Oxford, MS 38655-5441 | 2019-09-26 |
| 1699288829 | Envision Children's Healthcare Services of North Mississippi, Inc. | Pediatrics | 2301 S Lamar Blvd, Oxford, MS 38655-5373 | 2017-11-09 |
| Find all providers in OXFORD | ||||
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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.