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JON DIETRICH M.D.
NPI 1689094732
Student in an Organized Health Care Education/Training Program in Jbsa Ft Sam Houston, TX

Active since April 16, 2014
3551 ROGER BROOKE DR, SAMMC, PEDIATRIC RESIDENCY PROGRAM, JBSA FT SAM HOUSTON, TX 78234(210) 916-9332 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jon Dietrich M.d. NPPES

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

JON DIETRICH M.D. (NPI 1689094732) is an individual student in an organized health care education/training program in Jbsa Ft Sam Houston, Texas and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1689094732
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJON DIETRICHCredential: M.D.
Location Address3551 ROGER BROOKE DR, SAMMC, PEDIATRIC RESIDENCY PROGRAMJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke Dr, Sammc, Pediatric Residency ProgramJbsa Ft Sam Houston, TX 78234-4504 · (210) 916-9332
Phone(210) 916-9332
Sole ProprietorYes
Enumeration DateApril 16, 2014
✔ NPI 1689094732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234
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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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

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 Jon Dietrich's NPI number?

The NPI number for Jon Dietrich is 1689094732. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Jon Dietrich located?

Jon Dietrich practices at 3551 Roger Brooke Dr Sammc, Pediatric Residency Program, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 916-9332.

What is Jon Dietrich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jon Dietrich was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.