Active NPI
Silvia a. Diaz, MD PA
Doing business as Tidewater Pediatrics
- Pediatrics Physician
- Easton, MD
National Provider Identifier
1295745503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SILVIA A. DIAZ, MD PA
- Doing business as
- Tidewater Pediatrics
- Practice address
- 605 Dutchmans LN
Easton, MD 21601-3345 - Phone
- (410) 822-6712
- NPI assigned
- Aug 9, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Silvia A Diaz, MD
- Title
- President
- Phone
- (410) 822-6712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
605 Dutchmans LN
Easton, MD 21601-3345
Mailing address
605 Dutchmans LN
Easton, MD 21601-3345
Phone (410) 822-6712
Other names 1
- Tidewater Pediatrics
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pediatrics Physician
- Easton, MD
- NPI 1861402174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295745503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 DUTCHMANS LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013345",
"telephone_number": "410-822-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 DUTCHMANS LN",
"city": "EASTON",
"state": "MD",
"postal_code": "216013345",
"telephone_number": "410-822-6712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVIA A. DIAZ, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "SILVIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-822-6712",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tidewater Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Easton, MD
Sources for this page
- 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.