William Diefenbach

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD050177L Issued in PA

Practice address

2374 Village Common Dr
Ste 100
Erie, PA 16506-7201

Phone

(814) 833-7246

NPI assigned

Jan 9, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

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 2

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.

• Allegheny Clinic

  dba AHN-Primary Care Bethel Park

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment NPD
• Tri-State Pain Institute LLC

  • Interventional Pain Medicine Physician
  • Erie, PA
  • NPI 1215106323
  Medicare reassignment NPD
• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment NPD
• Great Lakes Physician Practice PC

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1730599176

  PA

  Medicare reassignment NPD
• Allegheny Clinic

  dba AHN Primary Care Mobile Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD
• Allegheny Clinic

  dba AGH Neurosurgery

  • Neurological Surgery Physician
  • Pittsburgh, PA
  • NPI 1275533515
  NPD
• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group - Ebandjieff

  • Family Medicine Physician
  • Nanty Glo, PA
  • NPI 1003222134
  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609
  NPD
• Upmc Altoona Regional Health Services, Inc

  dba Blair Medical Associates

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1639158488
  NPD
• Jamestown Area Medical Associates, L.L.P.

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1528010766
  NPD

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1740268812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 VILLAGE COMMON DR",
            "address_2": "STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 VILLAGE COMMON DR",
            "address_2": "STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067201",
            "telephone_number": "814-833-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFENBACH",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2021-03-25",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD050177L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.p.diefenbach@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diagnostic X-Ray Service, Inc.
• Diamonds Enterprise Health Services,LLC
• Lauren Dibacco
• Richard D. Dibacco, DPM
• Kellilynn Marie Dickson
• David F. Dieteman, M.D.
• Brande Dietrich-McLean, CRNP
• Marsha Sigrid Dietrich-McLean, D.O.
• Isabella Maria Dietz, PA-S
• Difranco Family Foot Care LLC

• Neurological Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Neurological Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.