Thomas H. Dittman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD015439E Issued in PA

Legal business name

THOMAS H. DITTMAN, M.D.

Practice address

20 N Laurel St
Suite 2 E
Hazleton, PA 18201-5948

Phone

(570) 453-0550

Fax

(570) 453-0138

NPI assigned

Jun 14, 2007

Last updated

Aug 22, 2020By 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. Thomas H Dittman, M.D.

Title

Physician

Phone

(570) 453-0550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245434893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N LAUREL ST",
            "address_2": "SUITE 2 E",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015948",
            "telephone_number": "570-453-0550",
            "fax_number": "570-453-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N LAUREL ST",
            "address_2": "SUITE 2 E",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015948",
            "telephone_number": "570-453-0550",
            "fax_number": "570-453-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS H. DITTMAN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DITTMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "570-453-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD015439E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009513120002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.