JASON P. DIETERLE DO – NPI #1376730069
Orthopaedic Surgery

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

JASON DIETERLE is an orthopaedic surgeon located in OAK PARK HEIGHTS, MN. NPPES has assigned the NPI number 1376730069 to JASON DIETERLE on September 26, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was last updated on Sep 04, 2024. 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 JASON DIETERLE below.

NPI Profile for
JASON P. DIETERLE

NPI Number
1376730069
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JASON P. DIETERLE
Credentials
DO
Primary location
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082-1093
Phone: (651) 439-8807 Fax: (651) 439-0232
Mailing address
3500 AMERICAN BLVD W STE 300
BLOOMINGTON, MN 55431-4442
Phone: (952) 512-5600 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)
MN 51694
207X00000X
- Orthopaedic Surgery
MN 51694

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
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED - Graduated 2003
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
JASON DIETERLE is affiliated with the following medical group(s):
  • HOSPITAL
    • LAKEVIEW MEMORIAL HOSPITAL
      927 WEST CHURCHILL STREET
      STILLWATER, MN 55082
    • RIVER FALLS AREA HOSPITAL
      1629 E DIVISION ST
      RIVER FALLS, WI 54022

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