Individual provider Active NPI

Paul Thomas Diaz

  • Family Nurse Practitioner
  • Delta, OH
National Provider Identifier
1295417236
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0034262 Issued in OH
Practice address
6696 US Highway 20a
Delta, OH 43515-9799
Phone
(419) 822-3242
Fax
(419) 822-9008
NPI assigned
Aug 1, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0034262 OH Primary

Addresses

Primary practice location

6696 US Highway 20a
Delta, OH 43515-9799

Mailing address

6696 US Highway 20a
Delta, OH 43515-9799
Phone (419) 822-3242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824003117 OH Practitioner - Nurse Practitioner 1052774940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1250 Ralston Ave
Suite 104
Defiance, OH 43512-5308
Phone (419) 783-7300

Hospital & facility affiliations

  • Fulton County Health Center Hospital, Wauseon, OH, CCN 361333
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034262OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Dec 10, 2025 Accepting new patients
FCHC Medical Care, LLC CurrentSince Sep 1, 2023 Accepting new patients
Promedica Central Physicians CurrentSince Dec 10, 2025 Accepting new patients

Locations

L3493
Columbus, OH 43260

L4133
Columbus, OH 43260

1250 Ralston Ave
Ste 104
Defiance, OH 43512
Phone (419) 784-3044

6696 US Highway 20A
Delta, OH 43515
Phone (419) 335-3242

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • Direct secure messaging: paul.diaz@fultoncounty.medicity.net

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1295417236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6696 US HIGHWAY 20A",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159799",
            "telephone_number": "419-822-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6696 US HIGHWAY 20A",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159799",
            "telephone_number": "419-822-3242",
            "fax_number": "419-822-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, OH

Sources for this page

Verify at the official NPI Registry.