RICHARD E. DIETZEN, M.D.,P.A.
NPI 1174738397
Clinic/Center - Medical Specialty in El Dorado, AR

Active since May 11, 2007
403 W OAK ST, SUITE 302, EL DORADO, AR 71730(870) 863-6444(870) 863-6675 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard E. Dietzen, M.d.,p.a. NPPES

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

RICHARD E. DIETZEN, M.D.,P.A. (NPI 1174738397) is a healthcare organization registered as a medical specialty in El Dorado, Arkansas and active in the NPI registry since May 2007. The organization lists Richard Edward Dietzen, Physician, as its authorized official.

NPPES Registry Identity

NPI1174738397
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRICHARD E. DIETZEN, M.D.,P.A.
Location Address403 W OAK ST, SUITE 302El Dorado, AR 71730-4586
Mailing Address403 W. Oak St, Suite 302El Dorado, AR 71730-4586 · (870) 863-6444 · Fax (870) 863-6675
Fax(870) 863-6675
Organization SubpartNo
Authorized OfficialRichard Edward DietzenPhysician · (870) 863-6444
Enumeration DateMay 11, 2007
Last NPPES UpdateJanuary 18, 2008
NPI 1174738397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in AR · E-1069
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
403 W OAK ST, El Dorado, AR 71730

Other Identifiers 2

Medicare ID-Type Unspecified5K301AR · Provider Number
Medicare UPINA37657AR

Other Providers at the Same Location NPPES 7

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

Family Medicine
403 W OAK ST
EL DORADO, AR 71730
Nurse Practitioner
403 W OAK ST, STE 303
EL DORADO, AR 71730
Nurse Practitioner (Family)
403 W OAK ST, SUITE 200
EL DORADO, AR 71730
Nurse Practitioner
403 W OAK ST, SUITE 303
EL DORADO, AR 71730
Pediatrics
403 W OAK ST, SUITE 305
EL DORADO, AR 71730
Nurse Practitioner (Primary Care)
403 W OAK ST, SUITE 200
EL DORADO, AR 71730
Specialist
403 W OAK ST, SUITE 302
EL DORADO, AR 71730

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 Richard E. Dietzen, M.D.,p.A.'s NPI number?

The NPI number for Richard E. Dietzen, M.D.,p.A. is 1174738397. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Richard E. Dietzen, M.D.,p.A. located?

Richard E. Dietzen, M.D.,p.A. is located at 403 W Oak St Suite 302, El Dorado, AR 71730. The listed phone number is (870) 863-6444.

What is Richard E. Dietzen, M.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Richard E. Dietzen, M.D.,p.A. was last updated on January 18, 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.