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

Individual provider Physician Assistant · NPI 1407383920

Mrs. Tamara Ryan Dietze, PA is a Physician Assistant in Omaha, Nebraska. Qualified in 2017, 9 years ago. Practices with Physicians Clinic Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
9
Licensed in
NE
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

Emile At 42nd St
Omaha, NE 68198-3771
Phone: (402) 552-6732
Fax: (402) 559-6779
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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 2129 (NE)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1407383920
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESJuly 14, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physicians Clinic Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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