Diane Walder Mdpa

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME74763 Issued in FL

Legal business name

DIANE WALDER MDPA

Practice address

1111 Kane Concourse
Suite 100
Bay Harbor Islands, FL 33154-2029

Phone

(305) 866-2177

Fax

(305) 866-5302

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diane Walder, MDNPI 1588697221

Title

President

Phone

(305) 866-2177

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Walder, M.D.

  • Specialist
  • Bay Harbor Islands, FL
  • NPI 1588697221
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023030038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 100",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542029",
            "telephone_number": "305-866-2177",
            "fax_number": "305-866-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE",
            "address_2": "SUITE 100",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542029",
            "telephone_number": "305-866-2177",
            "fax_number": "305-866-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE WALDER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-866-2177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME74763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivana Davinic
• Arlen De Armas, SLPA
• DG Heritage Medical Services ,LLC
• Oliver R Di Pietro, M.D.
• Diane Walder Mdpa
• Giselle Dominguez Acosta
• Jeffrey Glen Draesel, M.D. P.A.
• Jeffrey Glen Draesel Jr., D.C.
• Drgmed, Inc.
• DRS. Kovacs & Resnick, PA

• Specialist in Bay Harbor Islands, FL
• Providers in Bay Harbor Islands, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.