Scott J Diede, M.D., PH.D.

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

MD453452 Issued in PA

Practice address

351 N Sumneytown Pike
Mail Stop Ug4D-72
North Wales, PA 19454-2505

Phone

(267) 305-5994

Fax

(267) 305-6537

NPI assigned

Aug 23, 2006

Last updated

May 8, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1326154055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N SUMNEYTOWN PIKE",
            "address_2": "MAIL STOP UG4D-72",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542505",
            "telephone_number": "267-305-5994",
            "fax_number": "267-305-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 N SUMNEYTOWN PIKE",
            "address_2": "MAIL STOP UG4D-72",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194542505",
            "telephone_number": "267-305-5994",
            "fax_number": "267-305-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDE",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "PA",
            "license": "MD453452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tara Bray Dickman, LPC
• Laura Donnelly
• Stacy-Ann Donovan
• Steven Michael Douglas Jr., PHARMD
• Dr. Alan M. Rosenberg
• Dr.L.P.Setty,Dentist,PC

• Pediatric Hematology & Oncology Physician in North Wales, PA
• Providers in North Wales, PA by specialty
• Pediatric Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.