Dr Richard Laroy Dietrich, MD - Pediatrics in Nottingham, MD

Dr Richard Laroy Dietrich, MD is a Pediatrics physician based in Nottingham, Maryland. Dr Richard Laroy Dietrich is licensed to practice in Maryland (license number D0026218) and his current practice location is 4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center, Nottingham, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 933-7600.

NPI number for Dr Richard Laroy Dietrich is 1548336803 and his current mailing address is 2101 E Jefferson St, Kaiser Permanente Medicaire Enrollment, Rockville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548336803.

Contact Information

Dr Richard Laroy Dietrich, MD
4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center,
Nottingham, MD 21236-5916
(410) 933-7600
(410) 933-7802



Physician's Profile

Full NameDr Richard Laroy Dietrich
GenderMale
SpecialityPediatrics
Location4920 Campbell Blvd, Nottingham, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548336803
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 11/25/2011

Medical Identifiers

Medical identifiers for Dr Richard Laroy Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548336803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0026218 (Maryland)Primary
208000000XPediatrics 0101221514 (Virginia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Laroy Dietrich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Richard Laroy Dietrich, MD
2101 E Jefferson St, Kaiser Permanente Medicaire Enrollment,
Rockville, MD 20852-4908

Ph: (301) 816-2424
Dr Richard Laroy Dietrich, MD
4920 Campbell Blvd, Kaiser Permanente White Marsh Medical Center,
Nottingham, MD 21236-5916

Ph: (410) 933-7600

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› Verified 9 days ago


Pediatrics Doctors in Nottingham, MD

Smita N Vazarkar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236
Phone: 443-442-2300    
Christina Margaret Brown, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236
Phone: 410-933-7600    Fax: 410-933-7601
Ethel Mojoko, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 4924 Campbell Blvd, #200, Nottingham, MD 21236
Phone: 443-442-2300    
Kristen Shaw Deitchman, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4924 Campbell Blvd, Suite 200, Nottingham, MD 21236
Phone: 443-442-2300    Fax: 410-367-2035
Dr. Anthony F Pinto Iii, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4924 Campbell Blvd Ste 200, Nottingham, MD 21236
Phone: 443-442-2300    
Dr. Judith Rubin Dejarnette, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4920 Campbell Blvd, Nottingham, MD 21236
Phone: 410-933-7600    

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