Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amy Kmetz Ditzel, PA-C

Individual provider Medical Physician Assistant · NPI 1912120957

Mrs. Amy Kmetz Ditzel, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2000, 26 years ago. Practices with Salem Gastroenterology Consultants PC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4747 Skyline Rd S
Salem, OR 97306-4200
Phone: (503) 399-7520
Fax: (503) 362-7344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 875 Oak St Se, Salem, OR 97301 — (503) 399-7520

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA03007 (TX)

Record details

NPI number1912120957
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Salem Gastroenterology Consultants Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Salem