Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diane M Thiboutot, MD

Individual provider Dermatology Physician · NPI 1104889831

Diane M Thiboutot, MD is a Dermatology in Hershey, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 1988, 38 years ago. Practices with The Milton S Hershey Medical Center Physicians Group, a 1,595-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
38
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-6820
Fax: (717) 531-4702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 121 N Nyes Rd Ste C, Harrisburg, PA 17112-3248 — (717) 657-4040
  • 201 Lefever Rd, Mount Joy, PA 17552-8803 — (717) 653-2900

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD043565L (PA)

Record details

NPI number1104889831
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice The Milton S Hershey Medical Center Physicians Group — 1595 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hershey