Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1861409609 Deactivated / Inactive NPI Male Practitioner

Dr. John Gilbert Dietrich , MD

Pathology - Anatomic Pathology & Clinical Pathology • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Dietrich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2006
NPI Deactivation Date December 11, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Dietrich, MD was a registered Pathology - Anatomic Pathology & Clinical Pathology practicing in Springfield, IL. Throughout an active medical career spanning 12 years, Dr. Dietrich provided care at the practice location at 701 1ST ST until profile deactivation on 2018-12-11.

Practice Location & Contact Primary Location

Practice Address

701 1st St

Springfield, IL 62781

Telephone 2177883060
Fax 2177885577
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology & Clinical Pathology in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Springfield, IL (831 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

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. Joan Barenfanger , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1124131974

Doctor of Medicine (M.D.)

Dr. Michael Beckmann , DO

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1215040068

Doctor of Osteopathic Medicine (D.O.)

Dr. Nassim Banisaeed , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1346359320

Doctor of Medicine (M.D.)

Dr. Edward Poje , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1457464208

Doctor of Medicine (M.D.)

Dr. Lin Wang , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1558597278

Doctor of Medicine (M.D.)

Dr. Sanjai Nagendra , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1649285453

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 11, 2018

Record deactivated on December 11, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 701 1ST ST, SPRINGFIELD, IL 62781 (Tel: 2177883060)

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Updated Business Mailing Address July 08, 2007

Registered at 6450 RELIABLE PARKWAY, CHICAGO, IL 60686 (Tel: 2177883000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DIETRICH, MD

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

Pathology

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Initial NPI Registration & Enumeration August 02, 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: 1861409609
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: July 08, 2007
Deactivation Date: December 11, 2018

Mailing Address

6450 Reliable Parkway

Chicago, IL 60686

Phone: 2177883000

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.