Organization Active NPI

Pablo R. Diaz-Esquivel MD PA

  • Obstetrics & Gynecology Physician
  • Amarillo, TX
National Provider Identifier
1578572558
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F5186 Issued in TX
Legal business name
PABLO R. DIAZ-ESQUIVEL MD PA
Practice address
1600 Coulter
Building E Suite 703
Amarillo, TX 79106
Phone
(806) 355-9257
Fax
(806) 353-9871
NPI assigned
Aug 7, 2006
Last updated
May 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
C. Scott Maddox
Title
Administrator
Phone
(806) 355-9257

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU
Obstetrics & Gynecology Physician 207V00000X F5186 TX Primary

Addresses

Primary practice location

1600 Coulter
Building E Suite 703
Amarillo, TX 79106

Mailing address

P.O. Box 2485
Amarillo, TX 79105
Phone (806) 355-9257

Other identifiers 3

IdentifierTypeStateIssuer
00JP43OtherTXBCBS
034235401MedicaidTX
45D1001542OtherTXCLIA

National Provider Directory

National Provider Directory

Locations

1600 S Coulter St
Ste 703
Amarillo, TX 79106
Phone (806) 331-0122

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1578572558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2485",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79105",
            "telephone_number": "806-355-9257",
            "fax_number": "806-353-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COULTER",
            "address_2": "BUILDING E SUITE 703",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-355-9257",
            "fax_number": "806-353-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO R. DIAZ-ESQUIVEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-355-9257"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F5186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JP43",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034235401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1001542",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.