WOLFGANG F DIETZ (NPI# 1538131503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538131503 |
| Entity Type | Individual |
| Full Name | WOLFGANG F DIETZ |
| Credential | MD |
| Practice Address |
1222 S Patterson Blvd Suite 400 Dayton OH 45402-2684 |
| Practice Telephone | 9374962600 |
| Practice Fax Number | 9374962610 |
| Mailing Telephone | 9374962600 |
| Mailing Fax Number | 9374962610 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2013-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 35 05 7188 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0805083 | 01 | |
| HUMANA | D57188 | 01 | |
| OH | 2000837 | 05 | |
| ANTHEM | 000000004018 | 01 | |
| UNITEDHEALTHCARE | 1000383 | 01 |
| Street Address |
1222 S PATTERSON BLVD SUITE 400 |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481626 | Glen David Solomon | Internal Medicine | 1222 S Patterson Blvd, Suite 230, Dayton, OH 45402-2684 | 2005-07-21 |
| 1336635762 | Babette Verbsky | Audiologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2018-07-09 |
| 1952837973 | Courtney Ventus | Speech-Language Pathologist | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2017-05-11 |
| 1013443076 | Audrey Elizabeth Walstrom | Speech-Language Pathologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2017-05-11 |
| 1881138147 | Jennifer Rebecca Reitz | Speech-Language Pathologist | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2016-12-06 |
| 1063955516 | Angela Campanelli | Speech-Language Pathologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2016-11-30 |
| 1518419050 | Obed Asiedu | Pharmacist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2016-11-01 |
| 1396296612 | Healthstat Onsite Clinic City of Dayton | Preventive Medicine | 1222 S Patterson Blvd, Suite 120, Dayton, OH 45402-2684 | 2016-10-21 |
| 1043670904 | Catherine L Lanzer | Audiologist | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2016-03-04 |
| 1447634738 | Erin Donahue | Speech-Language Pathologist | 1222 S Patterson Blvd, Dayton, OH 45402-2684 | 2015-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649525684 | James Prueter | Otolaryngology | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402 | 2012-07-16 |
| 1962505933 | John Darrell Balazs | Otolaryngology | 425 W Grand Avenue, Suite 2003, Dayton, OH 45405-4722 | 2006-09-06 |
| 1568424620 | Michael S. Panosian | Otolaryngology | 4100 W 3rd St # 112, Dayton, OH 45428-9000 | 2006-04-04 |
| 1972574267 | Walter Ned Maimon | Otolaryngology | 19 Briar Hill Rd, Dayton, OH 45419-3429 | 2006-01-27 |
| 1790166130 | Eric L Bauer | Otolaryngology | 1222 S Patterson Blvd Ste 400, Dayton, OH 45402-2642 | 2015-06-11 |
| 1114105129 | Ankur M Patel | Otolaryngology | 1 Childrens Plz, Advanced Pediatric Ent, Dayton, OH 45404-1873 | 2008-02-01 |
| 1710170261 | Matthew Garrett | Otolaryngology | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2007-08-18 |
| 1568683399 | Stefanie K Horne | Otolaryngology | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2007-05-01 |
| 1700954526 | John Allan Balazs | Otolaryngology | 425 W Grand Avenue, Suite 2003, Dayton, OH 45405-4722 | 2006-12-01 |
| 1477573327 | Adan A Fuentes | Otolaryngology | 1222 S Patterson Blvd, Suite 400, Dayton, OH 45402-2684 | 2006-07-20 |
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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.