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WAYNE DIEDRICK PA
NPI 1083626386
Physician Assistant - Surgical in Hollywood, FL

Active since August 13, 2006
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 987-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wayne Diedrick Pa NPPES

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

WAYNE DIEDRICK PA (NPI 1083626386) is an individual surgical provider in Hollywood, Florida, licensed in Florida (PA3021) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1083626386
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWAYNE DIEDRICKCredential: PA
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing AddressPo Box 862233Orlando, FL 32886-2233 · (954) 276-5575
Phone(954) 987-2020
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083626386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA3021
3501 JOHNSON ST, Hollywood, FL 33021
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedE3875VFL

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.

DR. NEIL KAPPELMAN M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. PETER LIVINGSTON M.D.
Radiology (Neuroradiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. MICHAEL MCLEARY M.D.
Radiology (Pediatric Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. ROSHA CHAMPION MCCOY M.D.
Pediatrics
3501 JOHNSON ST, MEDICAL STAFF OFFICE
HOLLYWOOD, FL 33021
Broward County (954) 265-5045
DR. HAROLD SIEGEL DO
Family Medicine
3501 JOHNSON ST, TEAM HEALTH
HOLLYWOOD, FL 33021
Broward County (954) 987-2020
JESSICA BUTLER PA-C
Physician Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2020
DR. SHERRY LOU WOODHOUSE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921
NEIL A ABRAHAMS MD
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921

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 Wayne Diedrick's NPI number?

The NPI number for Wayne Diedrick is 1083626386. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Wayne Diedrick located?

Wayne Diedrick practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 987-2020.

What is Wayne Diedrick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Wayne Diedrick was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.