DR. CHARLES SYLVESTER DIETRICH III (NPI# 1619995131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619995131 |
| Entity Type | Individual |
| Full Name | DR. CHARLES SYLVESTER DIETRICH III |
| Credential | MD |
| Practice Address |
800 Rose St Lexington KY 40536 |
| Mailing Address |
800 Rose St Lexington KY 40536-7001 |
| Practice Telephone | 8593233975 |
| Practice Fax Number | 8593231602 |
| Mailing Telephone | 8593233975 |
| Mailing Fax Number | 8593231602 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
37734 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104985019 | Charles M Dietrich | Chiropractor | 250 Maple Place, Keyport, NJ 07735-1144 | 2006-12-06 |
| 1609002088 | Charles Dietrich | Dentist | 5028 Wisconsin Ave Nw, Suite 102, Washington, DC 20016-4118 | 2009-05-30 |
| Street Address |
800 ROSE ST |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560322 | Reinhold Munker | Internal Medicine | 800 Rose St, Lexington, KY 40536-4228 | 2005-07-07 |
| 1265032825 | Morgan Rose Grantham | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-31 |
| 1205436342 | Corrie Lyn Baumer | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-28 |
| 1053919779 | Timothy Burton | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1588262307 | Adam Sieg | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1255939351 | Brittany Monroe | Registered Nurse | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-12 |
| 1477150365 | Pearl Elizabeth Peterson | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-05 |
| 1093322745 | Katie Lynn Rust | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1558978221 | Michele Lee Bodine | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1184231839 | Jennifer Gene Bauman | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902218894 | Anthony Butler Mcdowell Jr. | Obstetrics & Gynecology | 339 Whitney Hendrickson Bldg 800 Rose St, Lexington, KY 40536-0001 | 2014-05-27 |
| 1881039121 | Brian Toy Burgess | Obstetrics & Gynecology | Gynecologic Oncology University of Kentuck St Rm 368, Lexington, KY 40536-0001 | 2013-04-30 |
| 1164840385 | Justin Wayne Gorski | Obstetrics & Gynecology | University of Kentucky 800 Rose Street, Lexington, KY 40536 | 2014-04-03 |
| 1356649784 | Holly H Gallion | Obstetrics & Gynecology | 339 Whitney Hendrickson Bldg 800 Rose Street, Lexington, KY 40536-1515 | 2011-03-09 |
| 1972697530 | Rachel Ware Miller | Obstetrics & Gynecology | 800 Rose St, 331 Whitney Hendrickson Building, Lexington, KY 40536-0001 | 2006-10-03 |
| 1487699435 | John R Vannagell Jr. | Obstetrics & Gynecology | 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-16 |
| 1811953540 | Lexington Gyn Oncology Psc | Obstetrics & Gynecology | 1780 Nicholasville Road, 101, Lexington, KY 40503 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063463131 | Sharmila Makhija | Obstetrics & Gynecology | 529 S. Jackson Street 3rd Floor, James Graham Brown Cancer Center, Louisville, KY 40202 | 2006-05-13 |
| 1588086540 | University of Louisville Research Foundation Inc | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2014-01-10 |
| 1467727586 | University of Louisville Physicians, Inc. | Obstetrics & Gynecology | 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 | 2012-03-22 |
| 1023319076 | Robert David Hilgers | Obstetrics & Gynecology | 2210 Goldsmith Ln, Suite 130, Louisville, KY 40218-1038 | 2010-11-08 |
| 1174772594 | Diana Kenyon | Obstetrics & Gynecology | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2008-09-10 |
| 1639192297 | Mary E Gordinier | Obstetrics & Gynecology | 4950 Norton Healthcare Blvd, Suite 300, Louisville, KY 40241-2845 | 2006-07-25 |
| 1063430171 | Daniel Stewart Metzinger | Obstetrics & Gynecology | 529 S Jackson St, Brown Cancer Center, Louisville, KY 40202-3229 | 2006-07-17 |
| 1083630750 | Lynn P. Parker | Obstetrics & Gynecology | 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 | 2006-07-14 |
| 1831157411 | Steven H Pursell | Obstetrics & Gynecology | 3991 Dutchmans Ln, Suite 405, Louisville, KY 40207-4700 | 2006-05-03 |
| 1720045834 | Jeffrey M Goldberg | Obstetrics & Gynecology | 200 Abraham Flexner Way, 1st Floor Administration Hall, Louisville, KY 40202-2877 | 2006-05-01 |
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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.