ELIZABETH DIETZ (NPI# 1992730634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992730634 |
| Entity Type | Individual |
| Full Name | ELIZABETH DIETZ |
| Credential | MD |
| Practice Address |
1020 Bandana Blvd W Saint Paul MN 55108-5107 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6512419700 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 36997 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1020 BANDANA BLVD W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596674 | Carol Lynn Meldman | Internal Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2005-08-26 |
| 1245468859 | Heidi Marie Roskens Dalzell | Internal Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2009-06-23 |
| 1255590063 | Adam Syverson | Family Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2008-06-06 |
| 1326218710 | James Thomas Nolan | Family Medicine | 1020 Bandana Blvd W, Aspen Medical Group, Saint Paul, MN 55108-5107 | 2008-03-03 |
| 1558548511 | Anita Marie Baum | Audiologist | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2008-01-22 |
| 1356551733 | Amanda J. Ye | Obstetrics & Gynecology | 1020 Bandana Blvd W, Oakwood Hospital and Medical Center, Saint Paul, MN 55108-5107 | 2007-05-23 |
| 1154410215 | Paul Swan | Internal Medicine | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-10-12 |
| 1043307739 | Mindy L Benton | Podiatrist | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-10-06 |
| 1154427763 | Anthony Charles Orecchia | Allergy & Immunology | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-09-15 |
| 1134233638 | Sally Arndt | Audiologist | 1020 Bandana Blvd W, Saint Paul, MN 55108-5107 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316178866 | Ann Giese | Pediatrics | 1230 Saint Clair Ave, Saint Paul, MN 55105-2817 | 2009-07-31 |
| 1134225535 | Mary Josepha Pohl | Pediatrics | 540 Cedar St, Mn Dept Human Services 64984, Saint Paul, MN 55101-2208 | 2006-09-15 |
| 1508870239 | Christine Huberty | Pediatrics | 2940 Snelling Ave N, Saint Paul, MN 55113-1413 | 2006-07-28 |
| 1659331445 | Ilene Rubowitz Moore | Pediatrics | 895 7th St E, Saint Paul, MN 55106-3871 | 2006-03-24 |
| 1083694046 | Richard Louis Baron | Pediatrics | 1804 7th St W, Suite 200, Saint Paul, MN 55116-2300 | 2006-01-18 |
| 1932183167 | Jennifer W Gobel | Pediatrics | 1880 Livingston Ave, Ste 102, Saint Paul, MN 55118-3425 | 2005-12-01 |
| 1093714040 | Kent W Wegmann | Pediatrics | 347 Smith Ave N, Saint Paul, MN 55102-2387 | 2005-07-20 |
| 1275067308 | Maher Alainawi | Pediatrics | 451 Dunlap St N, Saint Paul, MN 55104-4619 | 2017-04-15 |
| 1104359405 | Devan Vanlanen-wanek | Pediatrics | 640 Jackson St, Saint Paul, MN 55101-2595 | 2017-04-04 |
| 1306209549 | Michael Smith | Pediatrics | 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108 | 2016-04-04 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
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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.