Michael Diaz MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

19063 Issued in MS

Legal business name

MICHAEL DIAZ MD PC

Practice address

936 Tommy Munro Dr
Biloxi, MS 39532-2130

Phone

(228) 396-2663

Fax

(228) 396-2664

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis M Diaz, MDNPI 1245436815

Title

Owner

Phone

(228) 396-2663

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

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.

• Luis Michael Diaz, MD

  • Surgery Physician
  • Biloxi, MS
  • NPI 1245436815
  Medicare reassignment Authorized official
• Elizabeth Foster Brushaber, NP

  • Family Nurse Practitioner
  • Biloxi, MS
  • NPI 1477144939
  NPD
• Lauren Mikell Palmer

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1235089608
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1730665209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 TOMMY MUNRO DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322130",
            "telephone_number": "228-396-2663",
            "fax_number": "228-396-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 TOMMY MUNRO DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322130",
            "telephone_number": "228-396-2663",
            "fax_number": "228-396-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DIAZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-396-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "19063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1245436815",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memorial Hospital at Gulfport (Physicians Clinic at MHG)
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport (Physicans Clinic at MHG)
• Courtney Elizabeth Meredith, M.D.
• Metro Treatment of Mississippi LP (Biloxi Treatment Center)
• Shelia Denise Mickle, AGNP-C
• Mid-South Home Care Services, LLC (Memorial-Gentiva Palliative Care Program)
• Lydia F Middlekauff, CTRS
• Mary Kay Mihelich, R.D.
• Jalexis Mikell

• Plastic Surgery Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Plastic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.