Matthew Steven Dietz

D.O. | Pediatric Hematology-Oncology | Male

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Complete Profile:

Matthew Steven Dietz basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Matthew Steven Dietz
Credential :	D.O.
Gender :	Male

Business Address:

Matthew Steven Dietz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3181 Sw Sam Jackson Park Rd Portland, OR, 97239-3011 United States
Phone Number :	503-494-8211

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1386986909
NPI Entity Type :	Individual
First Enrolment Date :	21 Mar, 2013
Last Updated On :	20 Dec, 2021

Medicare Participation:

Matthew Steven Dietz participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3971744400
Medicare Enrollment ID :	I20200723002259
Primary Specialty :	Hematology/oncology
Medical School :	University Of New England, College Of Osteo Medicine
Graduation Year :	2015
Accepts Medicare?	Yes. Matthew Steven Dietz accepts medicare insurance.

Group Practice Association:

Matthew Steven Dietz is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Matthew Steven Dietz is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Utah Pediatric Services	0547552473	52	1950 Circle Of Hope Dr Salt Lake City, UT - 841125500 Ph: 8015850303	Yes
University Of Utah Pediatric Services	0547552473	52	50 N Medical Dr Salt Lake City, UT - 841320001 Ph: 8016621000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Matthew Steven Dietz are as mentioned. Primary taxonomy code for Matthew Steven Dietz, D.O. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	DO176689	OR
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	11767382-1204	UT

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5150 Sw Landing, 105 Portland, OR, 97239-4414 United States
Phone Number :	860-841-7599

Business Location:

Patients can refer following map for directions to Matthew Steven Dietz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.