Diosdado A Santiago, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD048065L Issued in PA

Practice address

403 12TH St
Windber, PA 15963-1726

Phone

(814) 467-5544

Fax

(814) 467-4990

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1720041668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 12TH ST",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631726",
            "telephone_number": "814-467-5544",
            "fax_number": "814-467-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 12TH ST",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631726",
            "telephone_number": "814-467-5544",
            "fax_number": "814-467-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "DIOSDADO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD048065L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001300324006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Pennsylvania LLC
• Patrice Rizzo, PHARMD
• Courtney Ronan, CRNP
• Hailey Danella Sanders
• Nathaniel J Sann, CRNP
• Sassy Medical Services LLC
• Rudolph Schilli, M.D.
• Marc D. Schminkey, LSW
• Shafer Drug Store
• Allison Nicole Shaffer, DPT

• Internal Medicine Physician in Windber, PA
• Providers in Windber, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.