Claude Gregory Diettrich (NPI# 1689787640, PAC ID# 9739158593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1689787640 |
| PAC ID by PECOS | 9739158593 |
| Professional Enrollment ID | I20040928001158 |
| Full Name | Claude Gregory Diettrich |
| Organization Legal Name | HALIFAX REGIONAL MEDICAL CENTER CRNA BILLING |
| Address |
250 Smith Church Rd Roanoke Rapids NC 27870-4914 |
| Phone Number | 2525358011 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1993 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2365689015 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340151 | HALIFAX REGIONAL MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 | 2525358011 | HALIFAX REGIONAL MEDICAL CENTER CRNA BILLING |
| Organization Legal Name | HALIFAX REGIONAL MEDICAL CENTER CRNA BILLING |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven R Hill | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Kenneth Ivan Hartz | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Elizabeth J Crawley | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Brian J Sommer | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Steven F Ulsas | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Street Address |
250 SMITH CHURCH RD |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip | 27870-4914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred E Wier | General Surgery | Roanoke Valley Health Services Inc | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Douglas P Ericson | Diagnostic Radiology | Total Radiology Solutions, Pa | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Steven R Hill | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Leigh Anne O Bowen | Nurse Practitioner | Halifax Regional Medical Center Inc | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Kenneth M Robert | Family Medicine | Roanoke Valley Health Services Inc | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Kenneth Ivan Hartz | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Elizabeth J Crawley | Certified Registered Nurse Anesthetist (crna) | Halifax Regional Medical Center Crna Billing | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| William A Vanhorn | Psychiatry | Roanoke Valley Health Services Inc | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Tara M Staton | Family Medicine | Roanoke Valley Health Services Inc | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| James A Ketoff | General Surgery | Roanoke Valley Health Services Inc | 250 Smith Church Rd, Roanoke Rapids, NC 27870-4914 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy James Nivens | Nurse Practitioner | Anesthesia Services Associates, Pllc. | 257 Hwy 125, Roanoke Rapids, NC 27870 |
| Stacie Michelle Medlin | Clinical Social Worker | Candm Behavioral Health, Pllc | 1704 Hwy 158, Roanoke Rapids, NC 27870 |
| Scott Anthony Morelli | Physician Assistant | Candm Behavioral Health, Pllc | 1704 Hwy 158, Roanoke Rapids, NC 27870 |
| Thomas A Mebane | Optometry | 444 Jackson St, Roanoke Rapids, NC 27870-1910 | |
| Edmund C Burnett Jr. | Clinical Psychologist | Carriage House Psychological Associates, Pllc | 600 B Jackson St, Roanoke Rapid, NC 27870-2604 |
| Nancy B Alford | Clinical Psychologist | Carriage House Psychological Associates, Pllc | 600 B Jackson St, Roanoke Rapid, NC 27870-2604 |
| Helen Kafer Varnadoe | Clinical Social Worker | 600 Jackson St, Suite B, Roanoke Rapids, NC 27870-2646 | |
| Shauna Daniels | Clinical Social Worker | Valley Center for Life Enrichment, Pllc | 600 Jackson St, Suite B, Roanoke Rapids, NC 27870-2646 |
| Kathryn J Collins | Clinical Social Worker | Valley Center for Life Enrichment, Pllc | 600 Jackson St, Suite B, Roanoke Rapids, NC 27870-2646 |
| Katharina S Dewald | Nurse Practitioner | Statewide Mental Health and Disability Services Pllc | 730 Roanoke Ave, Suite A1, Roanoke Rapids, NC 27870-2737 |
| Find all physicians in zip 27870 | |||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ROANOKE RAPIDS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Claude Gregory Diettrich.
| 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.