Jorge O Diaz MD PA

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

JORGE O DIAZ MD PA

Practice address

1331 S International Pkwy Ste 1261
Lake Mary, FL 32746-1405

Phone

(407) 444-4848

Fax

(407) 444-4870

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Jorge Orlando Diaz, MDNPI 1487663373

Title

Owner

Phone

(407) 444-4848

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Jorge O Diaz MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jorge O Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Leesburg, FL
  • NPI 1740953926
  NPD tax ID
• Jorge O. Diaz, MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Tavares, FL
  • NPI 1083287866
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Alliance Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lake Mary, FL
  • NPI 1417286428

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGBFAD

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jorge O Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Leesburg, FL
  • NPI 1740953926
  NPPES parent name
• Jorge O. Diaz, MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Tavares, FL
  • NPI 1083287866
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Orlando Diaz, MD

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1487663373
  Medicare reassignment NPD Authorized official
• Rafael Eduardo Pena, MD

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1659307486
  Medicare reassignment NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1396754172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 W STATE ROAD 46",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719230",
            "telephone_number": "407-444-4848",
            "fax_number": "407-444-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S INTERNATIONAL PKWY STE 1261",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461405",
            "telephone_number": "407-444-4848",
            "fax_number": "407-444-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE O DIAZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-444-4848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF7204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tahliq Jones
• Tiffany Dyann Jones, PHYSICIAN ASSISTANT
• Jonathon Logan Jordan
• Vanessa Jordan
• Jorge Gomez MD PA
• Eustacia Joseph, LCSW
• Nadia Joseph
• Jehan Jouda, RPH
• Sophia Joyner
• Belinda Judge, M.A., LMHC

• Clinical Cardiac Electrophysiology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Clinical Cardiac Electrophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.