Katie L Dieterle (NPI# 1003092370, PAC ID# 5698859122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1003092370 |
| PAC ID by PECOS | 5698859122 |
| Professional Enrollment ID | I20080222000281 |
| Full Name | Katie L Dieterle |
| Organization Legal Name | ARNOT OGDEN MEDICAL CENTER |
| Address |
521 W Seneca St Ithaca NY 14850-4033 |
| Phone Number | 6077958161 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395798417 |
| Number of Group Practice Members | 99 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330090 | ARNOT OGDEN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 Roe Ave, Elmira, NY 14905-1629 | ARNOT OGDEN MEDICAL CENTER | |
| 521 W Seneca St, Ithaca, NY 14850-4033 | 6077958161 | ARNOT OGDEN MEDICAL CENTER |
| Organization Legal Name | ARNOT OGDEN MEDICAL CENTER |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burgandy Ann Gray | Physician Assistant | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Fl 3, Horseheads, NY 14845-8301 |
| Harold J Hoffmeier Jr. | Physician Assistant | Arnot Ogden Medical Center | 104 S Porter St, Watkins Glen, NY 14891-1622 |
| Kristine A Hill | Nurse Practitioner | Arnot Ogden Medical Center | 602 Ivy St, Fl 2, Elmira, NY 14905-1646 |
| Richard R Terry | Family Medicine | Arnot Ogden Medical Center | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3219 |
| Stephen Andrew Manganaro | Emergency Medicine | Arnot Ogden Medical Center | 600 Roe Ave, Elmira, NY 14905-1629 |
| William E Clack | Dermatology | Arnot Ogden Medical Center | 200 Madison Ave, Suite 2b, Elmira, NY 14901-3219 |
| Todd Jun Wang | Family Medicine | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Suite 301, Horseheads, NY 14845-8304 |
| Erica L Mendelsohn | Physician Assistant | Arnot Ogden Medical Center | 100 John Roemmelt Dr, Fl 3, Horseheads, NY 14845-8301 |
| Paul Povanda | General Practice | Arnot Ogden Medical Center | 200 Madison Ave, Fl 3, Elmira, NY 14901-3219 |
| Nadanaguru Akila | Internal Medicine | Arnot Ogden Medical Center | 600 Roe Ave, Elmira, NY 14905-1629 |
| Street Address |
521 W SENECA ST |
| City | ITHACA |
| State | NY |
| Zip | 14850-4033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Anne Vargas | Clinical Social Worker | Dewitt Mall 215 N Cayuga St, Suite 77, Ithaca, NY 14850 | |
| Ashlin M Thuman | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Brian S Marino | Cardiovascular Disease (cardiology) | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Sara Schewel Foster | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Paula Fitzsimmons | Physician Assistant | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Diana M Stephens | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Marie A Harkins | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Suite C, Ithaca, NY 14850-1016 |
| Lori Davis | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Alexandra T Burch | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Brad A Yentzer | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Find all physicians in zip 14850 | |||
| City | ITHACA |
| Zip Code | 14850 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ITHACA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Katie L Dieterle.
| 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.