William A Dietz, M.D.
Internal Medicine, Interventional Cardiology in Scarborough, ME. Individual provider (NPI-1).
NPI number1528048964
StatusActive
Last updated in NPPESAug 17, 2012
Details
- NPI
- 1528048964
- Entity type
- Individual (NPI-1)
- Name
- William A Dietz
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2006
- Last updated
- Aug 17, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERVENTIONAL CARDIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | MD14792 | ME | Yes |
Practice location
96 Campus DrSuite 1
Scarborough, ME 04074-7133
Phone 207-396-5611
Mailing address
301c Us Route 1Scarborough, ME 04074-9701
Phone 207-396-8600 · Fax 207-396-8632
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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