MICHAEL DIAZ (NPI# 1871574186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871574186 |
| Entity Type | Individual |
| Full Name | MICHAEL DIAZ |
| Credential | MD |
| Practice Address |
1615 Pasadena Ave S Suite 400 South Pasadena FL 33707-4516 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Dept Fort Myers FL 33916-2216 |
| Practice Telephone | 7273411316 |
| Practice Fax Number | 7273454000 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME84878 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS / BLUE SHIELD | 64110 | 01 |
| FL | RR MEDICARE | P00369100 | 01 |
| FL | 272291700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427234061 | Michael Diaz | Counselor | 440 Cerrillos Rd, Santa Fe, NM 87501-2686 | 2008-01-14 |
| 1912197021 | Michael Diaz | Chiropractor | 5 Dale Ct, Norwood, NJ 07648-1701 | 2007-07-26 |
| 1417156985 | Michael Gelpi Diaz | Occupational Therapist | 124 Rosewood Dr, Metairie, LA 70005-3934 | 2007-07-16 |
| 1295748176 | Michael Diaz | Specialist | 1513 S Harbor City Blvd, Melbourne, FL 32901 | 2006-08-14 |
| 1881613602 | Michael Diaz Sr. | Dentist | 242 E Airport Dr Ste 100, San Bernardino, CA 92408-3408 | 2006-07-19 |
| 1427040021 | Michael C Diaz | Internal Medicine | 105 Glen Oak Blvd, Suite 200, Hendersonville, TN 37075-6424 | 2005-08-19 |
| 1811485816 | Michael Anthony Diaz | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143 | 2018-04-25 |
| 1477088029 | Michael A Diaz | Student in an Organized Health Care Education/Training Program | 550 1st Ave, Nyu Langone Medical Center, New York, NY 10016-6402 | 2017-04-20 |
| 1053702407 | Michael Diaz | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2015-02-06 |
| 1972948073 | Michael J Diaz | Registered Nurse | 226 E 144th St, Bronx, NY 10451-5909 | 2013-05-02 |
| Street Address |
1615 PASADENA AVE S SUITE 400 |
| City | SOUTH PASADENA |
| State | FL |
| Zip Code | 33707-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730514969 | Bridget M Nakielski | Nurse Practitioner | 1615 Pasadena Ave S, Suite 200, South Pasadena, FL 33707-4516 | 2013-09-06 |
| 1386962439 | David A Long Md, Pa | Internal Medicine | 1615 Pasadena Ave S, 250, South Pasadena, FL 33707-4516 | 2010-05-13 |
| 1437482171 | Crystal Anne Bujold | Internal Medicine | 1615 Pasadena Ave S, Suite 300, South Pasadena, FL 33707-4516 | 2009-09-14 |
| 1396981635 | Pasadena Center for Asthma & Lung Disorders LLC | Internal Medicine | 1615 Pasadena Ave S, Suite 200, South Pasadena, FL 33707-4516 | 2008-12-16 |
| 1639325533 | Shayne N Moyles Do Pl | Internal Medicine | 1615 Pasadena Ave S, Suite 100, South Pasadena, FL 33707-4516 | 2008-08-11 |
| 1659578938 | Paul F Foti, Md, Fccp, Pa | Specialist | 1615 Pasadena Ave S, Suite 480, South Pasadena, FL 33707-4516 | 2007-06-29 |
| 1780895961 | Dominiek Denise Schelfaut | Mechanotherapist | 1615 Pasadena Ave S, South Pasadena, FL 33707-4516 | 2007-05-27 |
| 1447379466 | Jill Tornyos Parker | Surgery | 1615 Pasadena Ave S, Suite 330, South Pasadena, FL 33707-4516 | 2007-03-29 |
| 1194852657 | J. Paonessa M.d. P.a. | Specialist | 1615 Pasadena Ave S, Suite 400, South Pasadena, FL 33707-4516 | 2007-02-28 |
| 1023117538 | Ernest C Rehnke Md Facs Pllc | Surgery | 1615 Pasadena Ave S, Suite 460, South Pasadena, FL 33707-4516 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346560786 | Kelly Khai Li Yap | Internal Medicine | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2010-06-08 |
| 1609057157 | Samuel Wai-kee Chung Jr. | Internal Medicine | 209 Fair Oaks Ave, South Pasadena, CA 91030 | 2007-11-26 |
| 1033291562 | Daniel Jae Kim | Internal Medicine | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2006-10-20 |
| 1396846432 | Weber Chen Medical Corp | Internal Medicine | 1936 Huntington Dr Ste C, South Pasadena, CA 91030-4859 | 2006-09-25 |
| 1235186354 | Christina Yeon | Internal Medicine | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2006-05-27 |
| 1952368516 | Jeffrey Weitzel | Internal Medicine | 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PASADENA |
| Zip Code | 33707 |
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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.