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DR. PAUL G DIEDERICH M.D.
NPI 1003896895
Internal Medicine in Overland Park, KS

Active since January 18, 2006
10787 NALL AVE, STE. 310, OVERLAND PARK, KS 66211(913) 945-6900(913) 945-6970 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul G Diederich M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL G DIEDERICH M.D. (NPI 1003896895) is an individual internal medicine provider in Overland Park, Kansas, licensed in Kansas (04-33478) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1003896895
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL G DIEDERICHCredential: M.D.
Location Address10787 NALL AVE, STE. 310Overland Park, KS 66211-1375
Mailing Address2330 Shawnee Mission Parkway, Medical Administrative Services Of Ku Ste. 312Westwood, KS 66205-0000 · (913) 945-5614 · Fax (913) 945-5617
Phone(913) 945-6900
Fax(913) 945-6970
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJune 16, 2009
✔ NPI 1003896895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KS · 04-33478✔ Licensed in MO · R9699
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10787 NALL AVE, Overland Park, KS 66211
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Other Identifiers 4

MedicaidDI201088119MO
Medicare UPINC51834MO
Medicare ID-Type UnspecifiedD234666MO
Medicare PINJ61A00015KS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETCHEN P POLAND ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
KATHRYN TIMM ARNP-C
Nurse Practitioner (Family)
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
DOUGLAS S. ANDERSON M.D.
Family Medicine
10787 NALL AVE, SUITE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
CELINA C BERNABE DO
Allergy & Immunology
10787 NALL AVE, SUITE 200
OVERLAND PARK, KS 66211
Johnson County (913) 491-3300
JAYHAWK PRIMARY CARE INC
Internal Medicine
10787 NALL AVE, STE 310
OVERLAND PARK, KS 66211
Johnson County (913) 945-6900
DUSTIN P BAKER APRN, FNP-C
Nurse Practitioner (Family)
10787 NALL AVE
OVERLAND PARK, KS 66211
Johnson County (913) 588-0000
DR. MICHAEL GREEN D.C
Chiropractor
10787 NALL AVE, SUITE 110
OVERLAND PARK, KS 66211
Johnson County (913) 667-2829
SOUTHWIND ANESTHESIA SERVICES, P.A.
Anesthesiology
10787 NALL AVE, SUITE 100
OVERLAND PARK, KS 66211
Johnson County (913) 312-3710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Diederich's NPI number?

The NPI number for Paul Diederich is 1003896895. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Paul Diederich located?

Paul Diederich practices at 10787 Nall Ave Ste. 310, Overland Park, KS 66211. The listed phone number is (913) 945-6900.

What is Paul Diederich's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Paul Diederich was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.