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

Dr. Katherine Eleanor Dertz, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104276021

Dr. Katherine Eleanor Dertz, MD is a Student in an Organized Health Care Education/Training Program in Washington, District of Columbia. Practices as a sole proprietor and works from 2 locations. Licensed in District of Columbia and Michigan.

Licensed in
DC, MI
In the registry since
2016
Specialties on file
2
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Washington, DC

Additional practice locations (1)

  • 945 Ottawa Ave Nw, Grand Rapids, MI 49503-1431 — (616) 391-1929

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD600003438 (DC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301109765 (MI)

Record details

NPI number1104276021
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2016
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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