Michael Dietz (NPI# 1326199829, PAC ID# 3274621008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1326199829 |
| PAC ID by PECOS | 3274621008 |
| Professional Enrollment ID | I20071113000213 |
| Full Name | Michael Dietz |
| Organization Legal Name | HEALTHSOURCE OF OHIO, INC. |
| Address |
100 River Valley Blvd New Richmond OH 45157-8566 |
| Phone Number | 5135767700 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264328749 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360001 | MERCY HOSPITAL ANDERSON |
| 360236 | MERCY HOSPITAL CLERMONT |
| Address | Phone | Organization |
|---|---|---|
| 100 River Valley Blvd, New Richmond, OH 45157-8566 | 5135767700 | HEALTHSOURCE OF OHIO, INC. |
| Organization Legal Name | HEALTHSOURCE OF OHIO, INC. |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Delyn Hibbs | Nurse Practitioner | Healthsource of Ohio, Inc. | 308 Highland Ave H, Washington Court House, OH 43160-1992 |
| Allison Marie Sowders | Nurse Practitioner | Healthsource of Ohio, Inc. | 100 River Valley Blvd, New Richmond, OH 45157-8566 |
| Robert Kuo | Family Medicine | Healthsource of Ohio, Inc. | 6131 Campus Ln, Cincinnati, OH 45230-1601 |
| Karen Eliazabeth Stephenson | Nurse Practitioner | Healthsource of Ohio, Inc. | 6535 Snider Rd, Loveland, OH 45140-9588 |
| Erin M Ranck | Family Practice | Healthsource of Ohio, Inc. | 2020 Beechmont Ave, Cincinnati, OH 45230-1696 |
| Dena Richter | Nurse Practitioner | Healthsource of Ohio, Inc. | 1341 Clough Pike, Batavia, OH 45103-2503 |
| Lauren E Roth | Family Medicine | Healthsource of Ohio, Inc. | 631 E State St, Georgetown, OH 45121-1437 |
| Kathleen Marie Adkins | Nurse Practitioner | Healthsource of Ohio, Inc. | 308 Highland Ave, H, Washington Court House, OH 43160-1992 |
| Robin M Havens | Nurse Practitioner | Healthsource of Ohio, Inc. | 218 Stern Rd, Seaman, OH 45679-9607 |
| Andrew B Scott | Nurse Practitioner | Healthsource of Ohio, Inc. | 150 Health Partners Cir, Mount Orab, OH 45154-8610 |
| Street Address |
100 RIVER VALLEY BLVD |
| City | NEW RICHMOND |
| State | OH |
| Zip | 45157-8566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Marie Sowders | Nurse Practitioner | Healthsource of Ohio, Inc. | 100 River Valley Blvd, New Richmond, OH 45157-8566 |
| Diane K Burket | Nurse Practitioner | Healthsource of Ohio, Inc. | 100 River Valley Blvd, New Richmond, OH 45157-8566 |
| Sahara Dawn Dorsey | Nurse Practitioner | Healthsource of Ohio, Inc. | 100 River Valley Blvd, New Richmond, OH 45157-8566 |
| Cynthia Villacis | Family Practice | Healthsource of Ohio, Inc. | 100 River Valley Blvd, New Richmond, OH 45157-8566 |
| City | NEW RICHMOND |
| Zip Code | 45157 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW RICHMOND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Dietz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.