JOHN E DIETRICH M.D. NPI 1417927807

NPI Information

  • NPI: 1417927807
  • Provider Name: JOHN E DIETRICH, M.D.
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 SAINT VINCENT CIR
    SUITE 160
    LITTLE ROCK, AR
    ZIP 72205
  • Phone: (501) 661-0037

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NPI Details

John E Dietrich, M.D. is an infectious disease internal medicine in Little Rock, AR. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. John E Dietrich, M.D. NPI is 1417927807. 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:

1 SAINT VINCENT CIR
SUITE 160
LITTLE ROCK, AR
ZIP 72205-405
Phone: (501) 661-0037
Fax: (501) 661-0038

The NPI 1417927807 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 1/26/2006 and was last updated on 5/20/2015.

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
1207RI0200XInternal MedicineInfectious DiseaseE0736ARKANSASYes

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
1C15259MEDICARE UPIN
2129921001MEDICAIDARKANSAS
35K232MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

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: 3/30/2025

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