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PAUL D DIETZ MD NPI 1922087592


NPI Information

NPI: 1922087592
Provider Name: PAUL D DIETZ, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
830 PENNSYLVANIA AVE
SUITE 104
CHARLESTON, WV
ZIP 25302
Phone: (304) 388-1552
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Paul D Dietz, MD is an obstetrics gynecology in Charleston, WV with 26 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Paul D Dietz, MD NPI is 1922087592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

830 PENNSYLVANIA AVE
SUITE 104
CHARLESTON, WV
ZIP 25302-302
Phone: (304) 388-1552

The NPI 1922087592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 3/17/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology20953WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DI6032471MEDICARE PINWEST VIRGINIA
2H66947MEDICARE UPIN
3WV3229CMEDICARE PINWEST VIRGINIA
4WV3229FMEDICARE PINWEST VIRGINIA
53810001038MEDICAIDWEST VIRGINIA
6WV3229EMEDICARE PINWEST VIRGINIA
7WV3229GMEDICARE PINWEST VIRGINIA
8WV3229BMEDICARE PINWEST VIRGINIA
9WV3229DMEDICARE PINWEST VIRGINIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.