Jorge O Diaz MD PA

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

JORGE O DIAZ MD PA

Practice address

601 E Dixie Ave Ste 101
Leesburg, FL 34748-7307

Phone

(407) 444-4848

Fax

(407) 444-4870

NPI assigned

Jul 26, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

JORGE O DIAZ, MD PAAs reported in NPPES

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

Authorized official

Name

Jorge O. Diaz, MDNPI 1487663373

Title

Authorized Official

Phone

(407) 444-4848

Specialties & licenses 1

Addresses

Tax ID family

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

Part of

Jorge O Diaz MD PA

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
  • Lake Mary, FL
  • NPI 1396754172
  NPD tax ID
• Jorge O. Diaz, MD PA

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jorge O Diaz MD PA

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1396754172
  NPPES parent name

Practitioners 1

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.

• Jorge Orlando Diaz, MD

  • Clinical Cardiac Electrophysiology Physician
  • Lake Mary, FL
  • NPI 1487663373
  NPD (past) Authorized official

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1740953926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 SR 46 # 376",
            "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": "601 E DIXIE AVE STE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487307",
            "telephone_number": "407-444-4848",
            "fax_number": "407-444-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE O DIAZ MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JORGE O DIAZ, MD PA",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "407-444-4848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jones-Shupe
• Ethel Bernadine Jones
• Lynn C Jones, OT
• Thomas H. Jones, PA-C
• Michelle Joop, LCSW
• Chelsea Joseph, COTA
• Shiny Joseph
• Journey Therapeutic Outreach Services L.L.C.
• Caitlin Kachmar, RPH
• George Edward Kainz, M.D.

• Clinical Cardiac Electrophysiology Physician in Leesburg, FL
• Providers in Leesburg, 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 Jul 26, 2021; 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.