MEDICARE: DR. NICHOLAS H DIENEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD10640	OR

General Provider Information

NPI Number	:	1841208436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS H DIENEL M.D.

Provider Business Mailing Address
First Line	:	520 MEDICAL CENTER DR
Second Line	:	SUITE 100
City	:	MEDFORD
State	:	OR
Zip	:	97504-4334
Country	:	US
Telephone Number	:	541-789-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 LOTO ST
Second Line	:	SUITE 100
City	:	EAGLE POINT
State	:	OR
Zip	:	97524-9517
Country	:	US
Telephone Number	:	541-789-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	01/30/2017

Similar Medicare Providers

1801071386 — MRS. JUDY ANN HARVEY R.D
Practice Location Address:

275 LOTO ST
EAGLE POINT, OR
97524-9517

Practice Phone: 541-830-0333
Practice Fax: 541-830-0863

1346674744 — MRS. CATHY ANN LAMB FNP
Practice Location Address:

275 LOTO ST
EAGLE POINT, OR
97524-9517

Practice Phone: 541-830-3392
Practice Fax: 541-830-0863

1053119982 — LOVING NURSES SERVICES LLC
Practice Location Address:

1257 EAGLE ST
WESCOSVILLE, PA
18106-9517

Practice Phone: 484-370-9033
Practice Fax:

1053154344 — RUPERT ALLEN CHILDERS
Practice Location Address:

103 SCIOTO AVE
SOUTH POINT, OH
45680-9517

Practice Phone: 304-638-1453
Practice Fax:

1356337323 — C&K EXPRESS, LLC
Practice Location Address:

11148 HIGHWAY 62
EAGLE POINT, OR
97524-9779

Practice Phone: 541-826-9380
Practice Fax: 541-826-9623

1740238013 — KENT HEYWARD ACSW,LMFT,SAP
Practice Location Address:

136 WEST MAIN STREET
EAGLE POINT, OR
97524

Practice Phone: 541-941-2159
Practice Fax:

Directions to “ DR. NICHOLAS H DIENEL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.