Individual
DIETRICH A GERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949
Mailing address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32049
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01297
BCBS IA RGPCSC
—
01
—
03734
BCBS IA RGIC LLC
—
05
—
1189506
—
IA
05
—
2189506
—
IA
01
—
25999
BCBS OF IOWA W/ ORA
IA
01
—
3189506
MEDICAID OF IOWA W/ ORA
IA
01
—
I18223
MEDICARE W/ ORA
IA
01
—
K51233
MEDICARE ORA ILLINOIS
IA
01
—
P000275282
RR MDC RGPCSC
—
Enumeration date
03/28/2006
Last updated
04/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us