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Active NPI 1083626386 Individual Practitioner Male Practitioner

Wayne Diedrick , PA

Physician Assistant - Surgical • Hollywood, FL

Professional Overview & Biography Verified Profile Summary

Wayne Diedrick, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Hollywood, FL. Practice services are available at 3501 JOHNSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3501 Johnson St

Hollywood, FL 330215421

Telephone 9549872020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Hollywood, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Hollywood, FL (1463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License FL PA3021

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Louis Carlisle , PA

Physician Assistant - Surgical

NPI 1023020310

Physician Assistant

NPI 1184600900

Doctor of Medicine (M.D.)

Shannon Gaffney , ARNP

Nurse Practitioner - Critical Care Medicine

NPI 1184738015

Advanced Registered Nurse Practitioner

NPI 1205813904

Doctor of Medicine (M.D.)

Julie-Ann Thompson

Internal Medicine - Critical Care Medicine

NPI 1235170218
NPI 1235228644

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3501 JOHNSON ST, HOLLYWOOD, FL 330215421 (Tel: 9549872020)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 862233, ORLANDO, FL 328862233 (Tel: 9542765575)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE DIEDRICK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA3021 in FL)

🟢
Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083626386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 862233

Orlando, FL 328862233

Phone: 9542765575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.