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

Individual provider Physician Assistant · NPI 1164708111

Mrs. Dorota Maria Dietz, PA-C is a Physician Assistant in Mesa, Arizona. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2011
Specialties on file
2
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

5155 E Eagle Dr Unit 20730
Mesa, AZ 85277-3031
Phone: (480) 706-9430
Fax: (480) 378-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4994 (AZ)
Surgery Physician Taxonomy 208600000X · Licence 4994 (AZ)

Record details

NPI number1164708111
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2011
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa