Dietrich A Gerhardt in Davenport - Diagnostic Radiology
Dietrich A Gerhardt - NPI 1396705711
Dietrich A Gerhardt is a Diagnostic Radiology in Davenport, Iowa. Dietrich A Gerhardt practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Dietrich A Gerhardt is 1396705711. The last update date is 2021-04-12.
Dietrich A Gerhardt's current location address is 1970 E 53rd St, Davenport, Iowa. You can contact this provider via phone number 5633593949. The mailing address for Dietrich A Gerhardt is 1970 E 53rd St, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dietrich A Gerhardt |
|---|---|
| Address | 1970 E 53rd St, Davenport, Iowa |
| Phone Number | 5633593949 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396705711 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2021-04-12 |
Provider Mailing Address Detail
| Address | 1970 E 53rd St |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528072710 |
| Phone Number | 5633593949 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 32049 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3734 | BCBS IA RGIC LLC | ||
| 2189506 | IA | -- | |
| 1189506 | IA | -- | |
| 25999 | IA | BCBS OF IOWA W/ ORA | |
| 1297 | BCBS IA RGPCSC | ||
| P000275282 | RR MDC RGPCSC | ||
| 3189506 | IA | MEDICAID OF IOWA W/ ORA | |
| I18223 | IA | MEDICARE W/ ORA | |
| K51233 | IA | MEDICARE ORA ILLINOIS |
Post Comment/ Review Below
What is the Dietrich A Gerhardt's 1396705711?
The Dietrich A Gerhardt's NPI (National Provider Identifier) Number is 1396705711. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dietrich A Gerhardt?
The Dietrich A Gerhardt is physically situated at 1970 E 53Rd St, in the city of Davenport, state of IA, with the postal code 528072710.
What is Dietrich A Gerhardt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dietrich A Gerhardt is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did Dietrich A Gerhardt receive its 1396705711 assignment from the Centers for Medicare & Medicaid Services?
The Dietrich A Gerhardt was assigned its 1396705711 on 2006-03-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dietrich A Gerhardt most recently updated or revised?
The information pertaining to Dietrich A Gerhardt, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-12.