STEFANIE ELIZABETH DIETZ (NPI# 1649891201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649891201 |
| Entity Type | Individual |
| Full Name | STEFANIE ELIZABETH DIETZ |
| Credential | AA |
| Practice Address |
400 Concord Plaza Dr Ste 200 San Antonio TX 78216-6990 |
| Mailing Address |
400 Concord Plaza Dr Ste 300 San Antonio TX 78216-6991 |
| Practice Telephone | 2102532660 |
| Practice Fax Number | 2102532661 |
| Mailing Telephone | 2108045416 |
| Mailing Fax Number | 2106784142 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 CONCORD PLAZA DR STE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-6990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144257833 | Mickey Brandon Dobson | Anesthesiology | 400 Concord Plaza Dr Ste 200, San Antonio, TX 78216 | 2006-06-27 |
| 1194240911 | John Andrew Cody | Anesthesiologist Assistant | 400 Concord Plaza Dr Ste 200, San Antonio, TX 78216-6990 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073906566 | Robert Wehner | Anesthesiologist Assistant | 14615 San Perdo, Suite 105, San Antonio, TX 78232-4364 | 2015-03-09 |
| 1295350569 | Advanced Perioperative Services | Anesthesiologist Assistant | 4100 E Piedras Dr Ste 165, San Antonio, TX 78228-2502 | 2020-06-12 |
| 1073134151 | Farahnaz Shafiey | Anesthesiologist Assistant | 520 Madison Oak Dr, San Antonio, TX 78258-3913 | 2020-04-30 |
| 1487294229 | Leiming Tang | Anesthesiologist Assistant | 3510 N Loop 1604 E, San Antonio, TX 78247-2303 | 2020-01-09 |
| 1194240911 | John Andrew Cody | Anesthesiologist Assistant | 400 Concord Plaza Dr Ste 200, San Antonio, TX 78216-6990 | 2017-08-14 |
| 1023405784 | Daniel Price | Anesthesiologist Assistant | 400 Concord Plaza Dr Ste 300, San Antonio, TX 78216-6991 | 2015-04-21 |
| 1083007090 | Michael Thomas Borton | Anesthesiologist Assistant | 400 Concord Plaza Dr, Suite 200, San Antonio, TX 78216-6905 | 2015-03-16 |
| 1447533187 | Kyle Jacob Neumann | Anesthesiologist Assistant | 400 Concord Plaza Dr, Suite 200, San Antonio, TX 78216-6905 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642509 | George Ezzat Nicolas | Anesthesiologist Assistant | 6308 El Risco St, El Paso, TX 79912-2508 | 2020-06-02 |
| 1982244315 | Allied Anesthesia Pllc | Anesthesiologist Assistant | 12801 N Central Expy Ste 750, Dallas, TX 75243-1876 | 2020-01-14 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1215497508 | Bd Anesthesia Associates Pllc | Anesthesiologist Assistant | 2024 W 15th St # F-364, Plano, TX 75075-7363 | 2019-03-22 |
| 1336647874 | Charlie Phung | Anesthesiologist Assistant | 6431 Fannin St Ste 5020, Houston, TX 77030-1501 | 2018-01-30 |
| 1245765395 | Ashley Balinski | Anesthesiologist Assistant | 807 Bay Ave, Unit A, Kemah, TX 77565-2972 | 2017-04-26 |
| 1669922472 | Au Monitoring LLC | Anesthesiologist Assistant | 7445 Las Colinas Blvd, Irving, TX 75063-7561 | 2016-10-05 |
| 1548620594 | Danielle Michelle Brooks | Anesthesiologist Assistant | 12418 Dawn Terrace, Houston, TX 77048 | 2016-03-03 |
| 1982074449 | Faa Servicespllc | Anesthesiologist Assistant | 11700 Preston Rd Ste 660-154, Dallas, TX 75230-6112 | 2015-09-28 |
| 1982070074 | Thomas Kennelly | Anesthesiologist Assistant | 6720 Bertner Ave # 226, Houston, TX 77030-2604 | 2015-08-12 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.