DR. THOMAS WILLIAM DIETZMAN


Address: 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319
Phone: 2155902367

DR. THOMAS WILLIAM DIETZMAN (NPI# 1548608110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548608110
Entity Type Individual
Full Name DR. THOMAS WILLIAM DIETZMAN
Credential M.D.
Practice Address 3401 Civic Center Blvd
Division of Cardiology
Philadelphia
PA 19104-4319
Mailing Address 3401 Civic Center Blvd
Division of Pediatric Cardiology
Philadelphia
PA 19104
Practice Telephone 2155902367
Mailing Telephone 2155901220
Mailing Fax Number 2155902768
Enumeration Date 2013-06-05
Last Update Date 2020-08-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LC0200X Anesthesiology
Specialization: Critical Care Medicine
MD457635 PA Allopathic & Osteopathic Physicians
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
MD457635 PA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3401 Civic Center Blvd Ste 9329, Philadelphia, PA 191044319 2155901858 2155901415

Office Location

Street Address 3401 CIVIC CENTER BLVD
DIVISION OF CARDIOLOGY
City PHILADELPHIA
State PA
Zip Code 19104-4319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467458463 Jeffrey R Boris Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2005-06-23
1932700259 Rukhsar Karim Machiwalla Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-11-03
1346840519 Vanessa Leigh Jones Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-27
1275131849 Kelsey Ann Maher Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-15
1437756020 Jennifer-rose Eccles Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-10-06
1891309787 Morgan Mcmanus Genetic Counselor, MS 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-08
1891309456 Abigail G Stefanides Physician Assistant 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-09-01
1124631247 Abrar Khaled Alabdulhadi Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-28
1003427014 Terrence Caldwell Jr. Pharmacist 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-13
1760093298 Paige Emily Naschke Nurse Practitioner 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316363716 Alan Marc Mendelsohn Pediatrics 628 S Mount Pleasant Rd, Philadelphia, PA 19119-2957 2014-03-10
1598962417 Cara Angela Garofalo Pediatrics Erie Ave. At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 2007-07-03
1467458463 Jeffrey R Boris Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 2005-06-23
1306480389 Stc Pediatrics LLC Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-11-01
1326550534 Michaela Elizabeth Mccrudden Pediatrics 160 E Erie Ave, Philadelphia, PA 19134-1011 2017-10-27
1346771359 Jill Hsia Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2017-03-22
1891145611 Ari Gartenberg Pediatrics 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 2016-06-14
1396195103 Alicia Mcdonnell Kamsheh Pediatrics 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 2016-06-13
1154785590 Sheri Balsara Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2016-04-12
1942695721 Travus James White Pediatrics 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104 2015-03-30
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Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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