Active NPI
Diana Jaime, M.D.
- Family Medicine Physician
- Orlando, FL
National Provider Identifier
1003150103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME112300
- Practice address
- 942 Lake Baldwin LN
Orlando, FL 32814-6606 - Phone
- (407) 895-8059
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME112300 | FL | Primary |
Addresses
Primary practice location
942 Lake Baldwin LN
Orlando, FL 32814-6606
Mailing address
942 Lake Baldwin LN
Orlando, FL 32814-6606
Phone (407) 895-8059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME112300 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbelt Anesthesia Services, LLC | Current | Accepting new patients | |
| Richard S Bragg MD PA | Past | Accepting new patients | |
| Richard S Bragg MD PA | Family Medicine | Past | Accepting new patients |
Locations
8833 Perimeter Park Blvd
Ste 901
Jacksonville, FL 32216
Phone (904) 240-4777
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Ponte Vedra, FL
- NPI 1205172079
-
- Primary Care Clinic/Center
- Lake Mary, FL
- NPI 1194000554
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1598821597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387670400000",
"number": "1003150103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 LAKE BALDWIN LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146606",
"telephone_number": "407-895-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 LAKE BALDWIN LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146606",
"telephone_number": "407-895-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIME",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2013-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME112300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.