DR. JOSE LUIS DIAZ-MIRON (NPI# 1407167695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407167695 |
| Entity Type | Individual |
| Full Name | DR. JOSE LUIS DIAZ-MIRON |
| Credential | MD |
| Practice Address |
12631 E 17th Ave Rm 6111 Aurora CO 80045-2527 |
| Practice Telephone | 7207771234 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2010019175 | MO | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
DR.0062681 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301111793 | MI | Student, Health Care |
| Street Address |
12631 E 17TH AVE RM 6111 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040897 | Shawn Sexton | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave Rm 6111, Aurora, CO 80045-2527 | 2020-03-28 |
| 1821557927 | Alejandro Suarez Pierre | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave Rm 6111, Aurora, CO 80045-2527 | 2019-03-18 |
| 1780104778 | Paul Dean Rozeboom | Surgery | 12631 E 17th Ave Rm 6111, Aurora, CO 80045-2527 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942639091 | Luis Dela Torre Mondragon | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-11-08 |
| 1235454125 | Shannon Nicole Acker | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-02 |
| 1386973675 | Andrea Bischoff | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-12-15 |
| 1861631244 | Stig Somme | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-02-09 |
| 1073650362 | Jonathan Roach | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-30 |
| 1801942495 | Jennifer Bruny | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-26 |
| 1609922384 | Ann Kulungowski | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-26 |
| 1194882175 | Timothy M Crombleholme | Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-01-02 |
| 1184718413 | David Partrick | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-03 |
| 1174617401 | Moritz Ziegler | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-03 |
| Find all providers in AURORA | ||||
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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.