Richard E. Dietzen, M.D.,P.a.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

E-1069 Issued in AR

Legal business name

RICHARD E. DIETZEN, M.D.,P.A.

Practice address

403 W Oak St
Suite 302
El Dorado, AR 71730-4586

Phone

(870) 863-6444

Fax

(870) 863-6675

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Edward Dietzen, M.D.NPI 1871580704

Title

Physician

Phone

(870) 863-6444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Edward Dietzen, M.D.

  • Specialist
  • El Dorado, AR
  • NPI 1871580704
  Authorized official Same address or phone

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1174738397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W. OAK ST",
            "address_2": "SUITE 302",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304586",
            "telephone_number": "870-863-6444",
            "fax_number": "870-863-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W OAK ST",
            "address_2": "SUITE 302",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304586",
            "telephone_number": "870-863-6444",
            "fax_number": "870-863-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. DIETZEN, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "DIETZEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "870-863-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AR",
            "license": "E-1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Reynolds
• Carli Rhodes, M.S.
• Jared Clinton Rhodes, MS PT
• Morgan Rich, PHARMD
• Richard C. Pillsbury, Mdpa
• Haley Richardson, DDS
• Rick L Brown Inc
• Kerri Arnold Ridinger, PTA
• Kimberly Dawn Rieger, PHARM.D.
• Christopher John Riley, M.D.

• Medical Specialty Clinic/Center in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Medical Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.