MR. MATTHEW PAUL DIEHL (NPI# 1003893504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003893504 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW PAUL DIEHL |
| Credential | PA-C |
| Practice Address |
615 E Princeton St Ste 101 Orlando FL 32803-1435 |
| Practice Telephone | 4072360006 |
| Practice Fax Number | 4072360007 |
| Mailing Telephone | 4072360006 |
| Mailing Fax Number | 4072360007 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9103321 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9103321 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 E Princeton St, Ste 540, Orlando, FL 328031424 | 4072360006 | 4072360007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972918647 | Matthew Steven Diehl | Pharmacist | 1810 E Monument St, Baltimore, MD 21205-2107 | 2014-06-21 |
| 1548529654 | Matthew William Diehl | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-3108 | 2012-05-09 |
| Street Address |
615 E PRINCETON ST STE 101 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651425 | Chelsie K Smyth | Clinical Neuropsychologist | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2020-05-21 |
| 1508310194 | Daniella D Orpi | Nurse Practitioner | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2016-08-11 |
| 1437546090 | Veneshia Campbell | Counselor | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2015-04-22 |
| 1982018024 | Lacie Manthripragada | Physician Assistant | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2014-06-17 |
| 1376770362 | Rachel-marie Annieta Cazeau | Pediatrics | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2009-06-17 |
| 1013125913 | Kaveh Asadi-moghaddam | Neurological Surgery | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2007-05-21 |
| 1700830833 | Roger J Hudgins | Neurological Surgery | 615 E Princeton St Ste 101, Orlando, FL 32803-1435 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1649600891 | Raul F Velez | Physician Assistant | 14139 Budworth Cir, Orlando, FL 32832-6123 | 2013-11-24 |
| 1255630075 | Joleen Chapman | Physician Assistant | 122 Annie St, Orlando, FL 32806-1214 | 2011-03-18 |
| 1124354600 | Tiffany M Murray | Physician Assistant | 83 W Copeland Dr, Orlando, FL 32806-2002 | 2009-10-19 |
| 1225277825 | M Catherine Broderick | Physician Assistant | 1720 S Cook Avenue, Orlando, FL 32808 | 2009-02-05 |
| 1033360938 | Monica M Rivera | Physician Assistant | 2591 Carrickton Cir, Orlando, FL 32824-4217 | 2008-10-09 |
| 1316104383 | Michele D Young | Physician Assistant | 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 | 2008-05-19 |
| 1033162011 | Southeastern Clinical Services,inc. | Physician Assistant | 4215 Edgewater, Orlando, FL 32804 | 2006-05-18 |
| 1386696631 | Kevin P Kingsley | Physician Assistant | 2501 N Orange Ave Ste 411, Orlando, FL 32804-4644 | 2006-05-16 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.