RICHARD G DIETHELM (NPI# 1851518476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851518476 |
| Entity Type | Individual |
| Full Name | RICHARD G DIETHELM |
| Credential | M.D. |
| Practice Address |
48 Medical Park Dr E Suite 351 Birmingham AL 35235-3430 |
| Mailing Address |
48 Medical Park Dr E Suite 351 Birmingham AL 35235-3400 |
| Practice Telephone | 2058369366 |
| Mailing Telephone | 2058369366 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26360 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009910701 | 05 | |
| AL | MEDICAL LICENSE | 26360 | 01 |
| AL | RAILROAD MEDICARE | P00417763 | 01 |
| AL | BLUE CROSS OF ALABAMA | 051005449 | 01 |
| Street Address |
48 MEDICAL PARK DR E SUITE 351 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35235-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733234 | Gail S Westhoven PC | Dermatology | 48 Medical Park Dr E, Suite 154, Birmingham, AL 35235-3400 | 2005-10-13 |
| 1124592142 | Anna Louise Baylis-reynolds | Counselor | 48 Medical Park Dr E, Birmingham, AL 35235-3400 | 2019-01-12 |
| 1356888580 | Amanda Castellow | Nurse Practitioner | 48 Medical Park Dr E, Ste 355, Birmingham, AL 35235-3400 | 2017-01-26 |
| 1417402553 | Julia Gray Sanford | Social Worker | 48 Medical Park Dr E, Suite 159, Birmingham, AL 35235-3400 | 2016-08-18 |
| 1790134369 | Latoya M Carstarphen | Nurse Practitioner | 48 Medical Park Dr E, Suite 154, Birmingham, AL 35235-3400 | 2016-06-06 |
| 1790174027 | Eastern Nephrology | Internal Medicine | 48 Medical Park Dr E, Ste151, Birmingham, AL 35235-3400 | 2015-01-09 |
| 1649528134 | Llivina & Harrigill, M.d., P.C. | Dermatology | 48 Medical Park Dr E, Suite 458, Birmingham, AL 35235-3400 | 2012-08-15 |
| 1144583436 | Nicholas G. Echemendia | Internal Medicine | 48 Medical Park Dr E, Birmingham, AL 35235-3400 | 2012-06-21 |
| 1346501715 | Brownstone Total Family Healthcare, PC | Family Medicine | 48 Medical Park Dr E, Suite 154, Birmingham, AL 35235-3400 | 2012-06-01 |
| 1982963351 | Balance Assurance LLC | General Practice | 48 Medical Park Dr E, Suite 250, Birmingham, AL 35235-3400 | 2012-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972743 | Orthosports Associates, LLC | Durable Medical Equipment & Medical Supplies | 52 Medical Plaza Drive, Suite 220, Birmingham, AL 35235 | 2020-11-04 |
| 1336612456 | Amber Bozeman | Nurse Practitioner | Medical 50 Medical Park East Dr., Birmingham, AL 35235 | 2019-01-11 |
| 1629581517 | Lacey Pody | Psychiatry & Neurology | 48 Medical Park Dr E Ste 159, Birmingham, AL 35235 | 2017-11-14 |
| 1215467873 | Kathy Brooks Nelson | Pharmacist | 5919 Trussville Crossing Parkway, Birmingham, AL 35235 | 2017-06-15 |
| 1306291711 | Melissa Santos Perez | Dentist | 1820 Gadsden Hwy Ste 112, Birmingham, AL 35235 | 2016-05-04 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1922351378 | Bee Ready | Home Health | 615 Meadows Dr, Birmingham, AL 35235 | 2012-10-23 |
| 1245597087 | Erin Nicole Wait | Obstetrics & Gynecology | Eastern Obgyn, 48 Medical Park East Drive Suite 355, Birmingham, AL 35235 | 2012-04-18 |
| 1265701270 | Reliable Transportation LLC | Non-emergency Medical Transport (VAN) | 213 Gasden Hy, Suite 100, Birmingham, AL 35235 | 2011-12-20 |
| 1134412687 | Sarah S Killeen | Anesthesiology | 50 Medical Park Dr. E, Suite 321, Birmingham, AL 35235 | 2011-05-17 |
| Find all providers in zip 35235 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750790838 | Mohammad Junaid Humayun | Psychiatry & Neurology | 1719 6th Avenue South, Birmingham, AL 35294-2547 | 2014-08-04 |
| 1033531637 | Sykes Neurology PC | Psychiatry & Neurology | 52 Medical Park Dr E Ste 320, Birmingham, AL 35235-3441 | 2014-01-16 |
| 1871766709 | Neurology Specialists of Al, PC | Psychiatry & Neurology | 513 Brookwood Blvd Ste 360, Birmingham, AL 35209-7826 | 2008-04-11 |
| 1093898918 | Helen I Barkan | Psychiatry & Neurology | 1719 6th Ave S, Circ 312, Birmingham, AL 35294-0001 | 2006-10-23 |
| 1013001148 | Robins J Newton | Psychiatry & Neurology | 2700 10th Ave S Ste 400, Birmingham, AL 35205 | 2006-10-03 |
| 1912918319 | Eroboghene Ekamereno Ubogu | Psychiatry & Neurology | 1720 7th Ave S, Suite 200, Birmingham, AL 35294-0017 | 2006-08-10 |
| 1417989740 | Diane R Counce | Psychiatry & Neurology | 1000 Southlake Park Ste 200, Suite 400b, Birmingham, AL 35244-5700 | 2006-07-07 |
| 1558398172 | Angela Hays Shapshak | Psychiatry & Neurology | Rwuh M226, 619 19th Street South, Birmingham, AL 35249-3280 | 2006-06-27 |
| 1770538233 | Khurram Bashir | Psychiatry & Neurology | 1720 7th Ave South, Birmingham, AL 35233-0017 | 2006-05-23 |
| 1568466597 | Jane Pearson Md Pa | Psychiatry & Neurology | 2660 10th Ave S, Ste 520, Birmingham, AL 35205-1605 | 2005-06-08 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35235 |
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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.