Joshua Eugene Dittmer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200800745 Issued in NC

Practice address

8300 Health Park Ste 201
Raleigh, NC 27615-4731

Phone

(919) 322-8832

Fax

(919) 747-2928

NPI assigned

Jan 4, 2007

Last updated

Jan 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 13, 2016 through Jul 13, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kirkfield Health

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
  • NPI 1609530914
  Authorized official Same address or phone
• Morse Clinic of Zebulon PC

  dba Morse Clinic of Zebulon

  • Methadone Clinic
  • Zebulon, NC
  • NPI 1255784237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1073660783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051509",
            "telephone_number": "919-322-8832",
            "fax_number": "919-747-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "919-322-8832",
            "fax_number": "919-747-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMER",
        "first_name": "JOSHUA",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200800745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dispatchhealth, PC
• Anna Ruth Ditesheim, LCSW-A
• Renee Beatrice Dito, RDH
• Gabrielle Hope Ditrani, OTR/L
• Christine Denise Dittmer, M.D., MPH, MS
• Traci Annette Diveley, PTA
• Divine Destiny Development L.L.C. (Mercy Companion & Non Skilled Care)
• Divine Grace Home Care
• Divine Grace Homecare Services, LLC
• Divine Grace Homecare Services, LLC

• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.