Hebe Diaz M.D. PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

19018 Issued in MS

Legal business name

HEBE DIAZ M.D. PLLC

Practice address

1720A Medical Park Dr
Suite 130C
Biloxi, MS 39532-2129

Phone

(228) 392-8881

Fax

(228) 392-8887

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Judy L Jarrell

Title

Business Office Manager

Phone

(228) 392-8881

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• Hebe Arroyo Diaz, M.D.

  • Obstetrics & Gynecology Physician
  • Biloxi, MS
  • NPI 1427062884
  Medicare reassignment

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1558693192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR",
            "address_2": "SUITE 130C",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322129",
            "telephone_number": "228-392-8881",
            "fax_number": "228-392-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR",
            "address_2": "SUITE 130C",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322129",
            "telephone_number": "228-392-8881",
            "fax_number": "228-392-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBE DIAZ M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "228-392-8881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "19018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04203772",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSISSIPPI",
            "identifier": "S0143HII",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rashad Anthony Haynes Sr., PHARMD
• Barbara Blackmore Heading, BS PHARMACY
• Healthcare Plus II, LLC
• Healthstop LLC
• Heavenly Hearts Home Care,LLC
• Aynaud Foster Hebert II, M.D.
• Sheila Hebert, CRNA
• Alvin Hebron, LMSW
• Emily Deanna Hendricks
• Kyle Vance Hendricks, DO

• Medical Specialty Clinic/Center in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.