MR. MAIKEL HERNANDEZ DIAZ (NPI# 1023442985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023442985 |
| Entity Type | Individual |
| Full Name | MR. MAIKEL HERNANDEZ DIAZ |
| Credential | PA-C |
| Practice Address |
3435 Karen Ave Kingman AZ 86401-6485 |
| Mailing Address |
30295 N 117th Dr Peoria AZ 85383-8255 |
| Practice Telephone | 3059622690 |
| Mailing Telephone | 3059622690 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9107389 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3435 KAREN AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-6485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548422876 | Charles H. Tadlock, M.d. Ltd. | Physician Assistant | 1912 Miami Ave, Kingman, AZ 86401-4127 | 2008-06-27 |
| 1023092822 | Margot D Henderson | Physician Assistant | 1755 Airway Ave, Kingman, AZ 86409-3620 | 2005-12-05 |
| 1285016394 | Wyatt Randolph Eddy | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2015-06-25 |
| 1699052357 | Craig Stephen Kantack | Physician Assistant | 1739 E Beverly Ave, Suite #101, Kingman, AZ 86409-3593 | 2011-11-09 |
| 1588816342 | Claudia L. Gallagher | Physician Assistant | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 2008-10-10 |
| 1780605048 | Melaina Zanele Blomenkamp | Physician Assistant | 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | 2006-07-22 |
| 1760408405 | Jeffrey S Boyett | Physician Assistant | 3931 Stockton Hill Rd, Suite C, Kingman, AZ 86409-2426 | 2006-07-14 |
| 1295789584 | Jeffery Leonard Henderson | Physician Assistant | 701 E A Ave, Kingman, KS 67068-1723 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1194343897 | Alyssa Kay Poland | Physician Assistant | 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 | 2020-07-08 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
| 1396388062 | Morgan Taylor Beckwith | Physician Assistant | 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 | 2019-10-24 |
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1871155143 | Terry Craven Wood | Physician Assistant | 7645 W Donald Dr, Peoria, AZ 85383-3142 | 2019-07-08 |
| 1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
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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.