DR. THOMPSON MACK DIETZ IV MD
NPI 1083619241
Radiology - Diagnostic Radiology in Slidell, LA

Active since June 15, 2005
1495 GAUSE BLVD, SLIDELL, LA 70458(985) 405-5200(985) 405-5201 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thompson Mack Dietz Iv Md NPPES

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

DR. THOMPSON MACK DIETZ IV MD (NPI 1083619241) is an individual diagnostic radiology provider in Slidell, Louisiana, licensed in Louisiana (013772) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1083619241
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. THOMPSON MACK DIETZ IVCredential: MD
Location Address1495 GAUSE BLVDSlidell, LA 70458-2205
Mailing AddressPo Box 8861Metairie, LA 70011-8861 · (985) 405-5200 · Fax (985) 405-5201
Fax(985) 405-5201
Sole ProprietorYes
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 20, 2008
NPI 1083619241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in LA · 013772
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1495 GAUSE BLVD, Slidell, LA 70458

Other Identifiers 4

Medicare PIN05721306MS
Medicare UPINE39015
Medicare PIN5M318LA
Medicaid1323764LA

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Radiology, Mobile)
1495 GAUSE BLVD
SLIDELL, LA 70458
General Acute Care Hospital
1495 GAUSE BLVD
SLIDELL, LA 70458
Radiology (Diagnostic Radiology)
1495 GAUSE BLVD
SLIDELL, LA 70458
Radiology (Diagnostic Radiology)
1495 GAUSE BLVD
SLIDELL, LA 70458
Radiology (Diagnostic Radiology)
1495 GAUSE BLVD
SLIDELL, LA 70458

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 Thompson Dietz's NPI number?

The NPI number for Thompson Dietz is 1083619241. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Thompson Dietz located?

Thompson Dietz practices at 1495 Gause Blvd, Slidell, LA 70458. The listed phone number is (985) 405-5200.

What is Thompson Dietz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Thompson Dietz accept?

Health plans from HMO Louisiana list Thompson Dietz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thompson Dietz was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.