MARY O. DITTRICH MD – NPI #1437194552
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

MARY DITTRICH is a physician located in MERIDIAN, ID. NPPES has assigned the NPI number 1437194552 to MARY DITTRICH on June 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY DITTRICH below.

NPI Profile for
MARY O. DITTRICH

NPI Number
1437194552
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY O. DITTRICH
Credentials
MD
Primary location
3525 E LOUISE DR
STE 100
MERIDIAN, ID 83642-6302
Phone: (208) 846-8335 Fax:
Mailing address
2702 HOLDEN LN
BOISE, ID 83706-5060
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 ID M7706

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER - Graduated 1997
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARY DITTRICH is affiliated with the following medical group(s):
  • HOSPITAL
    • ST LUKE'S NAMPA MEDICAL CENTER
      9850 WEST ST LUKES DRIVE
      NAMPA, ID 83687
    • ST LUKE'S REGIONAL MEDICAL CENTER
      190 EAST BANNOCK STREET
      BOISE, ID 83712
  • DIALYSIS FACILITY
    • LIBERTY DIALYSIS - CALDWELL
      4620 ENTERPRISE WAY STE 101
      CALDWELL, ID 83605
    • LIBERTY DIALYSIS - NAMPA
      280 West Georgia Avenue
      NAMPA, ID 83686

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