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CHARLES JOSEPH DIETZEN M.D. NPI 1790756385


NPI Information

NPI: 1790756385
Provider Name: CHARLES JOSEPH DIETZEN, M.D.
Classification: Physical Medicine & Rehabilitation - 2081P0010X
Entity Type: Individual

Specialization: Pediatric Rehabilitation Medicine

Address:
705 RILEY HOSPITAL DR
RI 3146
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-2353
Get Directions

Charles Joseph Dietzen, M.D. is a pediatric rehabilitation medicine physical medicine rehabilitation in Indianapolis, IN. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. Charles Joseph Dietzen, M.D. NPI is 1790756385. 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:

705 RILEY HOSPITAL DR
RI 3146
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-2353
Fax: (317) 944-2390

The enumeration date for this NPI number is 1/31/2006 and was last updated on 12/18/2013.


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
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine01036773AINDIANAYes

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
1100284930MEDICAIDINDIANA
2145590039MEDICARE PININDIANA

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

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