Jeffrey James Dietrich, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD32410 Issued in SC

Practice address

46 Markfield Dr Ste a
Charleston, SC 29407-6982

Phone

(843) 556-7048

Fax

(843) 556-2938

NPI assigned

Nov 7, 2005

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

Enrolled in SC

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.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Saint Louis University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Mount Pleasant, SC
  • NPI 1538101258
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1528049780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MARKFIELD DR STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076982",
            "telephone_number": "843-556-7048",
            "fax_number": "843-556-2938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Wingo Way",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294641810",
            "country_code": "US",
            "telephone_number": "843-881-2030",
            "fax_number": "843-881-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "MD32410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324107",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dane Richard Dickey, MD
• Elizabeth C Dickinson, ACNP
• Lauren Elizabeth Dickman, DMD
• Amy Hull Dickson, MHA, MS, CCC-SLP
• Jaimie Dietrich, MD
• Nicole Elizabeth Dietrich, LMSW
• Clifton Dietrick, MD
• Brittany Jean Dietz, CRNA
• Zachary Logan Dietz, PT, DPT
• Frank A Difazio, M.D.

• Allergy & Immunology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Allergy & Immunology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.