Gillian M Diederich (NPI# 1669925673, PAC ID# 3678860673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669925673 |
| PAC ID by PECOS | 3678860673 |
| Professional Enrollment ID | I20160919002179 |
| Full Name | Gillian M Diederich |
| Organization Legal Name | RENAL PHYSICIANS INC |
| Address |
500 Lincoln Park Blvd Suite 100 Kettering OH 45429-6410 |
| Phone Number | 9372223118 |
| Gender | F |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5193624161 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429-6410 | 9372223118 | RENAL PHYSICIANS INC |
| Organization Legal Name | RENAL PHYSICIANS INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric W Barnes | Nephrology | Renal Physicians Inc | 3006 N County Rd, 25a Suite 102, Troy, OH 45373-1373 |
| Rakesh K Gupta | Nephrology | Renal Physicians Inc | 2016 Springboro W, Moraine, OH 45439-1648 |
| Teresa L Mustovich | Clinical Nurse Specialist | Renal Physicians Inc | 1427 Business Ctr Ct, Dayton, OH 45410-3300 |
| Noriko T Banerjee | Nurse Practitioner | Renal Physicians Inc | 455 Turner Rd, Dayton, OH 45415-3630 |
| Nilesh S Mhaskar | Nephrology | Renal Physicians Inc | 130 Martz St A, Greenville, OH 45331-1071 |
| Natallia V Maroz | Nephrology | Renal Physicians Inc | 455 Turner Rd, Dayton, OH 45415-3630 |
| Adedayo Odunsi | Nephrology | Renal Physicians Inc | 455 Turner Rd, Dayton, OH 45415-3630 |
| Sivasankaran Ambalavanan | Nephrology | Renal Physicians Inc | 455 Turner Rd, Dayton, OH 45415-3630 |
| Norman M Yaggi | Physician Assistant | Renal Physicians Inc | 455 Turner Rd, Dayton, OH 45415-3630 |
| Melissa Schnell | Nephrology | Renal Physicians Inc | 130 Martz St A, Greenville, OH 45331-1071 |
| Street Address |
500 LINCOLN PARK BLVD SUITE 100 |
| City | KETTERING |
| State | OH |
| Zip | 45429-6410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Dudash | Family Medicine | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 220, Kettering, OH 45429-6404 |
| Peter Michael Nelson | Internal Medicine | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 110, Kettering, OH 45429-6410 |
| Pam Brokaw-myers | Nurse Practitioner | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 110, Kettering, OH 45429-6410 |
| Malak S Adib | Internal Medicine | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 110, Kettering, OH 45429-6410 |
| Vernesha Montgomery | Family Medicine | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 220, Kettering, OH 45429-3479 |
| Tenielle Rhae Holste | Physician Assistant | Alliance Physicians Inc | 500 Lincoln Park Blvd, Suite 220, Kettering, OH 45429-6404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Polenakovik | Internal Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Swathi Datla | Family Medicine | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Timberly De Ann Harvey | Certified Registered Nurse Anesthetist (crna) | Kettering Anesthesia Associates, Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Julia Anne Balandiat | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Nicole K Hammock | Nurse Practitioner | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| David B Jackson | Emergency Medicine | Emergency Medicine Specialists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Kelley | Physician Assistant | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Daniel Lucian Butnariu | Critical Care (intensivists) | South Dayton Acute Care Consultants, Inc | 3535 Southern Blvd, Dayton, OH 45429-1221 |
| Michael David Johnson | General Surgery | Alliance Physicians Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Michael Benjamin Gentry | Pathology | Kettering Pathology Associates Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Find all physicians in zip 45429 | |||
| City | KETTERING |
| Zip Code | 45429 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KETTERING + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gillian M Diederich.
| 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.