ANN MARIE DIETRICH MD
NPI 1972505915
Pediatrics - Pediatric Emergency Medicine in Greenville, SC

Q: What is Ann Dietrich's NPI number?

The NPI number for Ann Dietrich is 1972505915. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is Ann Dietrich's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Ann Dietrich was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 10, 2005PECOS Enrolled

701 GROVE RD FL 1, GREENVILLE, SC 29605(864) 455-7899(864) 455-5474 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2022, Aug 19, 2021 (2 updates tracked since 2021).

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About Ann Marie Dietrich Md NPPES

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

ANN MARIE DIETRICH MD (NPI 1972505915) is an individual pediatric emergency medicine provider in Greenville, South Carolina, licensed in South Carolina (86478) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1972505915

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameANN MARIE DIETRICHCredential: MD

Location Address701 GROVE RD FL 1Greenville, SC 29605-4210

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-7899

Fax(864) 455-5474

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateMay 2, 20222 updates tracked since enumeration

NPPES CertifiedMay 2, 2022

✔ NPI 1972505915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

Licenses✔ Licensed in SC · 86478✔ Licensed in OH · 35055079

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 86478 (SC)

701 GROVE RD FL 1, Greenville, SC 29605

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Secondary Practice Location 1

Location 1555 S 18th StColumbus, OH 43205-2654 · Phone (614) 722-4867 · Fax (614) 722-4380

Other Identifiers 4

Medicaid6486614800KY

Medicaid2028273OH

Medicaid0105570000WV

MedicaidPENDINGSC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Marie Dietrich Md 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 20

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

DR. AMBER GIST LANEY MD

Emergency Medicine