EMILY SUE DIEDERICH DO
NPI 1720873953
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 09, 2025PECOS Enrolled
30 E APPLE ST FL 6, DAYTON, OH 45409(937) 208-2866 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Emily Sue Diederich Do NPPES

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

EMILY SUE DIEDERICH DO (NPI 1720873953) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720873953
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMILY SUE DIEDERICHCredential: DO
Location Address30 E APPLE ST FL 6Dayton, OH 45409-2939
Mailing Address30 E Apple St Fl 6Dayton, OH 45409-2939 · (937) 208-2004
Sole ProprietorNo
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
NPI 1720873953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
30 E APPLE ST FL 6, Dayton, OH 45409

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emily Sue Diederich Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST FL 6
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409
Student in an Organized Health Care Education/Training Program
30 E APPLE ST FL 6
DAYTON, OH 45409

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 Emily Diederich's NPI number?

The NPI number for Emily Diederich is 1720873953. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Emily Diederich located?

Emily Diederich practices at 30 E Apple St Fl 6, Dayton, OH 45409. The listed phone number is (937) 208-2866.

What is Emily Diederich's specialty?

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

Is Emily Diederich enrolled in Medicare?

Yes. Emily Diederich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Diederich was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.