CHARLES JOSEPH DIETZEN M.D.
NPI 1790756385
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Indianapolis, IN
- Individual
- Male
- Physical Medicine & Rehabilitation
- Pediatric Rehabilitation Medicine
About CHARLES DIETZEN
This page provides the complete NPI Profile along with additional information for Charles Dietzen, a provider established in Indianapolis, Indiana with a medical specialization in Physical Medicine & Rehabilitation, focusing in pediatric rehabilitation medicine . The healthcare provider is registered in the NPI registry with number 1790756385 assigned on January 2006. The practitioner's primary taxonomy code is 2081P0010X with license number 01036773A (IN). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1790756385 Verify this NPI
- Provider Name
- CHARLES JOSEPH DIETZEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 705 RILEY HOSPITAL DR RI 3146 INDIANAPOLIS, IN 46202
- Location Phone
- (317) 944-2353
- Location Fax
- (317) 944-2390
- Mailing Address
- PO BOX 1026 INDIANAPOLIS, IN 46206
- Mailing Phone
- (317) 274-1201
- Mailing Fax
- (317) 278-9905
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-31-2006
- Last Update Date
- 12-18-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine
- Taxonomy Code
- 2081P0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01036773A
- License State
- IN
- Taxonomy Description
- A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100284930 | MEDICAID (05) | IN | |
| 145590039 | MEDICARE PIN (08) | IN |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790756385, enumerated as an "individual" on January 31, 2006.
The provider is located at 705 RILEY HOSPITAL DR RI 3146 INDIANAPOLIS, IN 46202 and the phone number is (317) 944-2353.
Physical Medicine & Rehabilitation with taxonomy code 2081P0010X and a focus in Pediatric Rehabilitation Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
