DAVID R DIETRICH (NPI# 1871522250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871522250 |
| Entity Type | Individual |
| Full Name | DAVID R DIETRICH |
| Credential | M.D. |
| Practice Address |
120 N Richard Jackson Blvd Ste 140 Panama City FL 32407 |
| Mailing Address |
120 N Richard Jackson Blvd Ste 140 Panama City FL 32407-2522 |
| Practice Telephone | 8505326168 |
| Practice Fax Number | 8505326568 |
| Mailing Telephone | 8505326168 |
| Mailing Fax Number | 8505326568 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME74604 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1827 Harrison Ave, Panama City, FL 324057605 | 8507850095 | 8507850842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477708543 | David C Dietrich | Psychologist | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-11-17 |
| 1992969224 | David Robert Dietrich | Psychoanalyst | 625 Purdy St, Birmingham, MI 48009-1738 | 2008-07-16 |
| Street Address |
120 N RICHARD JACKSON BLVD STE 140 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985640 | Amanda J Reitmeyer | Nurse Practitioner | 120 N Richard Jackson Blvd Ste 140, Panama City, FL 32407-2522 | 2020-02-26 |
| 1740823830 | Emerald Coast Orthopedics Pllc | Orthopaedic Surgery | 120 N Richard Jackson Blvd Ste 140, Panama City, FL 32407-2522 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637497 | Beach Midway Med Express | Internal Medicine | 11038 Hutchison Blvd, Panama City, FL 32407 | 2018-01-23 |
| 1225497365 | Shae Nicole Luster | Counselor | 415 N Richard Jackson Blvd Ste 204, Panama City Beach, FL 32407 | 2016-02-17 |
| 1447675988 | Nicoleta M Tatum | Nurse Practitioner | 140 N Richard Jackson Blvd, Panama City Beach, FL 32407 | 2014-02-20 |
| 1528482361 | Best Care Home Health of Panama City LLC | Home Health | 12216 Panama City Parkway Unit B, Panama City Beach, FL 32407 | 2014-02-14 |
| 1134463482 | Panhandle Orthopaedics LLC | Pediatrics | 12909 Panama City Beach Pkwy, Panama City Beach, FL 32407 | 2012-11-26 |
| 1215296983 | Jennifer Lynn Holloran | Speech-Language Pathologist | 8317 Front Beach Road Suite 34c, Panama City Beach, FL 32407 | 2012-05-15 |
| 1295043248 | Candida Jill Pratt | Massage Therapist | 10200 Clarence St., Suite B, Panama City Beach, FL 32407 | 2010-09-23 |
| 1326275843 | Richard Lee Giffin | Registered Nurse | 1625 Vecuna Cir, Panama City Beach, FL 32407 | 2009-06-11 |
| 1649455726 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11801 Panama City Beach Pkwy., Panama City Beach, FL 32407 | 2008-01-08 |
| 1891915740 | Cambridge Carruth | Physical Therapist | 120 R Jackson Bvld., Ste. 130, Panama City Beach, FL 32407 | 2007-04-25 |
| Find all providers in zip 32407 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679916860 | Michael L Adams Md LLC | Orthopaedic Surgery | 2202 State Ave Ste 300, Panama City, FL 32405-4590 | 2013-04-08 |
| 1720008220 | Weems Roland Mcarthur Md Pa | Orthopaedic Surgery | 400 W 19th St, Panama City, FL 32405-4602 | 2006-07-20 |
| 1346273166 | Steven E Goodwiller Md Pa | Orthopaedic Surgery | 402 W 19th Street, Panama City, FL 32405-4651 | 2006-07-07 |
| 1447295985 | Michael X Rohan | Orthopaedic Surgery | 408 W 19th St, Panama City, FL 32405-4602 | 2006-06-18 |
| 1386689867 | Cory R Gaiser | Orthopaedic Surgery | 1399 Jenks Ave Bldg G, Panama City, FL 32401 | 2006-06-18 |
| 1417990995 | James G Floyd | Orthopaedic Surgery | 601 North Bonita Avenue Bay Medical Center, Panama City, FL 32401 | 2006-06-13 |
| 1578521092 | James Mcghee Talkington | Orthopaedic Surgery | 2428 Jenks Ave, Panama City, FL 32405 | 2006-05-03 |
| 1396709879 | William C Lennen | Orthopaedic Surgery | 801 E 6th St Ste 304, Panama City, FL 32401-3663 | 2006-04-13 |
| 1447248836 | James C Mcloughlin | Orthopaedic Surgery | 742 Harrison Ave, Panama City, FL 32405 | 2005-10-10 |
| 1598769440 | Raymond M Bleday | Orthopaedic Surgery | 410 W 19th St, Panama City, FL 32405-4602 | 2005-06-09 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32407 |
Please comment or provide details below to improve the information on DAVID R DIETRICH.
| 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.