DR. THOMAS WILLIAM DIETZMAN M.D. NPI 1548608110

NPI Information

  • NPI: 1548608110
  • Provider Name: DR. THOMAS WILLIAM DIETZMAN, M.D.
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3401 CIVIC CENTER BLVD
    DIVISION OF CARDIOLOGY
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 590-2367

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NPI Details

DR. Thomas William Dietzman, M.D. is a pediatric cardiology pediatrics in Philadelphia, PA with 12 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Thomas William Dietzman, M.D. NPI is 1548608110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

3401 CIVIC CENTER BLVD
DIVISION OF CARDIOLOGY
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-2367

The NPI 1548608110 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 6/5/2013 and was last updated on 6/1/2023.

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
1207LC0200XAnesthesiologyCritical Care MedicineMD457635PENNSYLVANIANo
22080P0202XPediatricsPediatric CardiologyMD457635PENNSYLVANIAYes

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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