Mario J Diaz (NPI# 1164460697, PAC ID# 7911049564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164460697 |
| PAC ID by PECOS | 7911049564 |
| Professional Enrollment ID | I20100121000091 |
| Full Name | Mario J Diaz |
| Organization Legal Name | SALEM CLINIC, PC |
| Address |
2020 Capitol St Ne Salem OR 97301-0644 |
| Phone Number | 5033992424 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517954514 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380051 | SALEM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 | 5033992424 | SALEM CLINIC, PC |
| 2020 Capitol St Ne, Salem, OR 97301-0644 | 5033992424 | SALEM CLINIC, PC |
| Organization Legal Name | SALEM CLINIC, PC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristy L Thomas | Nurse Practitioner | Salem Clinic, PC | 1165 Union St Ne, Suite 200, Salem, OR 97301-4693 |
| Esther E Brown | Nurse Practitioner | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Johan Lg Kohler | Family Medicine | Salem Clinic, PC | 5900 Inland Shores Way N, Suite 100, Keizer, OR 97303-3883 |
| Mark P Vanderburgh | Family Medicine | Salem Clinic, PC | 2531 Boone Rd Se, Salem, OR 97306-9675 |
| Jiyoun Kim | General Surgery | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Nicole L Read | Nurse Practitioner | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Patricia E Peterson | Obstetrics/gynecology | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Robert J Harder | Obstetrics/gynecology | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Gerald E Williams | Family Medicine | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Kathleen M Harder | Internal Medicine | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Street Address |
2020 CAPITOL ST NE |
| City | SALEM |
| State | OR |
| Zip | 97301-0644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther E Brown | Nurse Practitioner | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Jiyoun Kim | General Surgery | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Nicole L Read | Nurse Practitioner | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Patricia E Peterson | Obstetrics/gynecology | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Robert J Harder | Obstetrics/gynecology | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Gerald E Williams | Family Medicine | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Kathleen M Harder | Internal Medicine | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Trang N Moore | Internal Medicine | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Julie Diane Crownover | Physician Assistant | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Angela M Carroll | Clinical Social Worker | Salem Clinic, PC | 2020 Capitol St Ne, Salem, OR 97301-0644 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Hannig | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Cheryl A Lugenbill | Obstetrics/gynecology | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Steven E Besing | Psychologist, Clinical | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Jaya N. Martin | Certified Nurse Midwife | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Avelino O Leal | Preventative Medicine | Salem Health | Building M 755 Mission St Se, Salem Health Rehabiliation, Salem, OR 97301 |
| Ashit G Patel | Cardiac Electrophysiology | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Arjun K Chagarlamudi | Cardiovascular Disease (cardiology) | Cascade Cardiology LLC | 777 Commercial St Se, Suite 130, Salem, OR 97301-0060 |
| Sarah Frances Robbins | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Ryan William Huffman | Nurse Practitioner | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Sabine G Hyatt | Psychologist, Clinical | Precision Mental Performance LLC | 189 Liberty St Ne, Suite 204, Salem, OR 97301-0205 |
| Find all physicians in zip 97301 | |||
| City | SALEM |
| Zip Code | 97301 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mario J Diaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.