DR. MICHAEL E DEITZ M.D. NPI 1285610378

NPI Information

NPI: 1285610378
Provider Name: DR. MICHAEL E DEITZ, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
475 BRADLEY BLVD
RICHLAND, WA
ZIP 99352
Phone: (509) 943-2240
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DR. Michael E Deitz, M.D. is a specialist in Richland, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Michael E Deitz, M.D. NPI is 1285610378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

475 BRADLEY BLVD
RICHLAND, WA
ZIP 99352-419
Phone: (509) 943-2240
Fax: (509) 943-1575

The NPI 1285610378 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 2/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD21436	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1004901	OTHER	WASHINGTON	COMMUNITY HEALTH PLAN
2	5438375	OTHER		AETNA
3	350230	OTHER		UNITED HEALTHCARE
4	26051	OTHER	WASHINGTON	LABOR & INDUSTRIES
5	152595	MEDICAID	OREGON
6	1011998	MEDICAID	WASHINGTON
7	4383580001	MEDICARE NSC	WASHINGTON
8	G000300358	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
9	314	OTHER	WASHINGTON	GROUP HEALTH
10	A07154	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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