CHARLES A. DIETZ, JR. M.D. – NPI #1982635165
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
CHARLES DIETZ, JR. is a radiologist located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1982635165 to CHARLES DIETZ, JR. on July 05, 2006. 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 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 14 years ago on May 01, 2012. 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 CHARLES DIETZ, JR. below.
NPI Profile for
CHARLES A. DIETZ, JR.
(about 20 years ago)
PWB 1ST FL CINIC 1D UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455 Phone: (612) 273-6004 Fax: (612) 273-8459
MMC 292 UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455 Phone: (612) 626-3345 Fax:
Identifiers for CHARLES DIETZ, JR.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | ARAZ | MN | 868089 |
| OTHER | BCBS | MN | 17Y63DI |
| OTHER | HEALTHPARTNERS | MN | HP22169 |
| OTHER | MEDICA CHOICE | MN | 16-09449 |
| OTHER | MEDICA PRIMARY | MN | 16-02032 |
| OTHER | MN MA | MN | 869302100 |
| OTHER | PREFERRED ONE | MN | 1010250 |
| OTHER | UCARE | MN | 105551 |
| MEDICAID | MT | 0058344 |
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 |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
MN | 32379 |
| 2085R0204X - Radiology / Vascular & Interventional Radiology |
MN | 32379 |
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
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
CHARLES DIETZ, JR. is affiliated with the following medical group(s):
- HOSPITAL
- M HEALTH FAIRVIEW UNIVERSITY OF MN2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
- M HEALTH FAIRVIEW UNIVERSITY OF MN2450 RIVERSIDE AVENUE
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