Active NPI
Timothy Diaz, DO
- Surgery Physician
- Terre Haute, IN
National Provider Identifier
1144885286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 02007735A
- Practice address
- 1818 N 6TH St
Terre Haute, IN 47804-4021 - Phone
- (812) 232-1123
- NPI assigned
- May 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 02007735A | IN | Primary |
Addresses
Primary practice location
1818 N 6TH St
Terre Haute, IN 47804-4021
Mailing address
1818 N 6TH St
Terre Haute, IN 47804-4021
Phone (812) 232-1123
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02007735A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients |
Interoperability endpoints
- tdiaz753408@direct.hfhs.org
- tdiaz@unionhealth.cernerdirect.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1144885286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 N 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044021",
"telephone_number": "812-232-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478044021",
"telephone_number": "812-232-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "TIMOTHY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-03",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "02007735A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.