JEFFREY JAMES DIETRICH (NPI# 1528049780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528049780 |
| Entity Type | Individual |
| Full Name | JEFFREY JAMES DIETRICH |
| Credential | MD |
| Practice Address |
180 Wingo Way Suite 102 Mt Pleasant SC 29464-1810 |
| Mailing Address |
180 Wingo Way Suite 102 Mount Pleasant SC 29464-1810 |
| Practice Telephone | 8438812030 |
| Practice Fax Number | 8438816249 |
| Mailing Telephone | 8438812030 |
| Mailing Fax Number | 8438816249 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 32410 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1528049780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477621894 | Jeffrey Jay Dietrich | Pharmacist | 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2006-12-01 |
| Street Address |
180 WINGO WAY SUITE 102 |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815259 | Stanley C Hall | Urology | 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 | 2005-07-19 |
| 1114371846 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 180 Wingo Way, Suite 308, Mt Pleasant, SC 29464-1810 | 2016-04-19 |
| 1285098939 | Lillian Brandt | Specialist | 180 Wingo Way, Suite 301, Mt Pleasant, SC 29464-1810 | 2016-04-08 |
| 1235598525 | Roper Saint Francis Physicians Network | Internal Medicine | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 | 2016-02-16 |
| 1598142101 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 180 Wingo Way, Suite 308, Mt Pleasant, SC 29464-1810 | 2015-05-04 |
| 1497184667 | Charleston Ent Associates LLC | Pharmacy | 180 Wingo Way, Suite 103, Mt Pleasant, SC 29464-1810 | 2013-11-07 |
| 1629327713 | Jessica Michelle Chepa | Nurse Practitioner | 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464-1810 | 2012-09-05 |
| 1093091761 | Jesse William Price IIi | Physician Assistant | 180 Wingo Way, Suite 306, Mt Pleasant, SC 29464-1812 | 2011-10-26 |
| 1659663441 | Andrew Clarke Flandry | Family Medicine | 180 Wingo Way, Suite 207, Mt Pleasant, SC 29464-1810 | 2011-05-11 |
| 1053613786 | Brian R Obenza | Physician Assistant | 180 Wingo Way, Suite 204, Mt Pleasant, SC 29464-1810 | 2010-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114963188 | Maria Rudisill Streck | Allergy & Immunology | 1440 Ben Sawyer Blvd, Mt Pleasant, SC 29464-5525 | 2006-06-20 |
| 1912909599 | Bruce Devon Ball Sr. | Allergy & Immunology | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-3235 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841819182 | Greenville Rheumatology & Allergy | Allergy & Immunology | 2104a Woodruff Rd, Greenville, SC 29607-5941 | 2020-04-15 |
| 1164956439 | Rosenblatt Enterprise Group, LLC. | Allergy & Immunology | 46 Montagu St, Ste B, Charleston, SC 29401-6709 | 2017-04-13 |
| 1336255280 | David Perrick | Allergy & Immunology | One Richland Medical Park, Suite 200 Carolina Allergy and Asthma Consultants, Columbia, SC 29203 | 2006-08-22 |
| 1245346196 | Michael J Bykowsky | Allergy & Immunology | 1 Richland Medical Park Dr Ste 200, Carolina Allergy and Asthma Consultants, Columbia, SC 29203-6830 | 2006-08-22 |
| 1972526135 | Allergy Partners, Pllc | Allergy & Immunology | 3610 Moore Duncan Hwy, Moore, SC 29369-9414 | 2006-07-26 |
| 1447285374 | John Michael Pulcini | Allergy & Immunology | 10 Halton Green Way, Greenville, SC 29607-6606 | 2006-07-11 |
| 1861438699 | Brian Samuel Dantzler | Allergy & Immunology | 46 Markfield Dr, Suite A, Charleston, SC 29407-6982 | 2006-06-21 |
| 1538101258 | Allergy Partners, Pllc | Allergy & Immunology | 46a Markfield Dr, Charleston, SC 29407-6942 | 2006-06-11 |
| 1972541944 | Beaufort County Allergy LLC | Allergy & Immunology | 60 Main Street, Suite D, Hilton Head Is, SC 29926-6603 | 2006-06-03 |
| 1619920246 | Victoria M Diokno | Allergy & Immunology | 100 Fair Sailing Rd, Mount Pleasant, SC 29466-8158 | 2006-05-17 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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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.