Darrell R. Pietsch, M.D, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K7867 Issued in TX

Legal business name

DARRELL R. PIETSCH, M.D, P.A.

Practice address

6600 Fish Pond Rd
Waco, TX 76710-2581

Phone

(254) 732-6789

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Darrell Ray Pietsch, MDNPI 1780689992

Title

President

Phone

(254) 732-6789

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.

• Darrell R Pietsch, M.D.

  • Family Medicine Physician
  • Waco, TX
  • NPI 1780689992
  Authorized official Same address or phone

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1225548795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-732-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-732-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL R. PIETSCH, M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "PIETSCH",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-732-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia Curry Danishek, M.D.
• Leslie Dannhaus
• Ashleigh H Dao, DPT
• Jennetta Dao, OD
• Foy Edward Dark III, DO
• Megan Daubert, MD
• Mallory Jean Daughtery, PT, DPT
• Ann Marie Davey, PH.D.
• David J. Schickner, M.D. , P.a.
• Erica David

• Family Medicine Physician in Waco, TX
• Providers in Waco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.