JEFFREY A. DITESHEIM M.D. – NPI #1780660019
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

JEFFREY DITESHEIM is a surgeon located in CHARLOTTE, NC. NPPES has assigned the NPI number 1780660019 to JEFFREY DITESHEIM on December 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 18 years ago on Dec 01, 2008. 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 JEFFREY DITESHEIM below.

NPI Profile for
JEFFREY A. DITESHEIM

NPI Number
1780660019
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY A. DITESHEIM
Credentials
M.D.
Primary location
9336 BLAKENEY CENTER DRIVE
SUITE 130
CHARLOTTE, NC 28277
Phone: (704) 542-8686 Fax: (704) 542-8696
Mailing address
Same as primary location
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
NC 9501222

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.