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

Jason Paul Dieterle, DO

Individual provider Orthopaedic Surgery Physician · NPI 1376730069

Jason Paul Dieterle, DO is an Orthopedic Surgery in Oak Park Heights, Minnesota. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2003, 23 years ago. Practices with McLaren Central Michigan, a 179-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
23
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MN, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5715 Memorial Ave N
Oak Park Heights, MN 55082-1093
Phone: (651) 439-8807
Fax: (651) 439-0232
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 51694 (MN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 51694 (MN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 52724-21 (WI)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 52724-21 (WI)

Record details

NPI number1376730069
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 26, 2007
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address3500 American Blvd W Ste 300, Bloomington, MN 55431-4442

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2003 (23 years in practice)
Group practice McLaren Central Michigan — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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