HEBE DIAZ M.D. PLLC (NPI# 1558693192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558693192 |
| Entity Type | Organization |
| Organization Name | HEBE DIAZ M.D. PLLC |
| Practice Address |
1720a Medical Park Dr Suite 130c Biloxi MS 39532-2129 |
| Practice Telephone | 2283928881 |
| Practice Fax Number | 2283928887 |
| Mailing Telephone | 2283928881 |
| Mailing Fax Number | 2283928887 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | MS. JUDY L JARRELL (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 2283928881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
19018 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04203772 | 05 | |
| MS | BCBS OF MISSISSIPPI | S0143HII | 01 |
| Street Address |
1720A MEDICAL PARK DR SUITE 130C |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678674 | Jack W Brand Jr. | Internal Medicine | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2005-06-08 |
| 1407304801 | Rachael Hines | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-09-14 |
| 1144776386 | Alisha Farrish | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-08-28 |
| 1942691415 | Gai Truong | Pharmacist | 1720a Medical Park Dr, Suite 160, Biloxi, MS 39532-2129 | 2015-02-05 |
| 1679961270 | Duc Vinh Nguyen | Nurse Practitioner | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2015-01-05 |
| 1891119715 | Deborah Thompson-spencer | Nurse Practitioner | 1720a Medical Park Dr, Biloxi, MS 39532-2129 | 2014-02-12 |
| 1275893273 | Ashley Mcshurley | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2012-05-23 |
| 1215225636 | Aesthetic Surgery Center Ltd | Plastic Surgery | 1720a Medical Park Dr, Suite 140, Biloxi, MS 39532-2129 | 2011-07-19 |
| 1598067340 | Jan Van Truong | Chiropractor | 1720a Medical Park Dr, 160b, Biloxi, MS 39532-2129 | 2010-11-30 |
| 1902036973 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2009-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396074241 | Biloxi Bay Urology Center Pllc | Clinic/Center | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4109 | 2009-12-23 |
| 1790922680 | Oakview Medicine, LLC | Clinic/Center | 1721 Medical Park Dr, Suite 101, Biloxi, MS 39532-2100 | 2009-01-14 |
| 1477603074 | Vitreoretinal Eye Center, PC | Clinic/Center | 962 Tommy Munro Dr., Suite B, Biloxi, MS 39532-2138 | 2007-01-12 |
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|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1841646148 | Hooks Diabetes & Medicine Clinic, Pllc | Clinic/Center | 2625 Traceland Dr Ste A, Tupelo, MS 38801-4240 | 2016-05-05 |
| 1194060350 | Stewart Ear Sinus & Allergy Pllc | Clinic/Center | 4 Professional Plaza, Starkville, MS 39759 | 2012-11-29 |
| 1912200460 | Amory Hma Physician Mgmt LLC | Clinic/Center | 607 Earl Frye Blvd # A, Amory, MS 38821-5503 | 2010-12-06 |
| 1205146719 | Voulters Medical Consulting | Clinic/Center | 927 E Scenic Dr, Pass Christian, MS 39571-4701 | 2010-10-18 |
| 1629393491 | Soma Plastic Surgery and Hand Clinic | Clinic/Center | 2630 Courthouse Cir Ste A, Flowood, MS 39232-9562 | 2010-04-05 |
| 1750513818 | Magnolia Addiction Treatment Services | Clinic/Center | 500 E Woodrow Wilson Ave Ste D, Jackson, MS 39216-4538 | 2009-08-21 |
| 1598911877 | George E. Wilkerson, M.d., P.a. | Clinic/Center | 348 Crossgates Blvd Ste 2300, Brandon, MS 39042-2634 | 2008-08-18 |
| 1174798334 | Don S Davis Md Pa | Clinic/Center | 5002 Hwy 39 N Bldg A, Meridian, MS 39301-1078 | 2008-04-28 |
| 1346424819 | North Mississippi Vascular Center, Pa | Clinic/Center | 1040a S Madison St, Tupelo, MS 38801-6300 | 2007-12-19 |
| 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.