Individual provider Active NPI

Leaza M. Dierwechter, M.D.

  • Surgery Physician
  • Tacoma, WA
National Provider Identifier
1598734592
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD00040441 Issued in WA
Practice address
3124 S 19TH St
Ste C220
Tacoma, WA 98405-2433
Phone
(253) 301-5050
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD00040441 WA Primary

Addresses

Primary practice location

3124 S 19TH St
Ste C220
Tacoma, WA 98405-2433

Mailing address

3124 S 19TH St
Ste C220
Tacoma, WA 98405-2433
Phone (253) 301-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20100211000169 WA Practitioner - General Surgery 8628000924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1901 S Union Ave
Tacoma, WA 98405-1702

311 S L St
Tacoma, WA 98405-3720

3124 S 19TH St
Tacoma, WA 98405-2433

4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 7, 2016 Accepting new patients
Multicare Health System CurrentSince Nov 7, 2016 Accepting new patients
Multicare Health System Current Accepting new patients
Proliance Surgeons Inc P S Surgery Past Accepting new patients
Multicare Health System Past Accepting new patients
Proliance Surgeons Inc P S Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3124 S 19th St
Ste 220
Tacoma, WA 98405
Phone (253) 301-5050

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

3124 S 19th St
Ste C220
Tacoma, WA 98405
Phone (253) 301-5050

3124 S 19th St
#220
Tacoma, WA 98405
Phone (253) 301-5050

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: ldierwechtermd5472@direct.multicare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1598734592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST",
            "address_2": "STE C220",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-301-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST",
            "address_2": "STE C220",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052433",
            "telephone_number": "253-301-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERWECHTER",
        "first_name": "LEAZA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00040441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.