Active NPI
Ronilo Diaz, MD
- Emergency Medicine Physician
- Tompkinsville, KY
National Provider Identifier
1770699068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 16587
- Practice address
- 529 Capp Harlan Rd
Tompkinsville, KY 42167-1808 - Phone
- (270) 487-9231
- NPI assigned
- Aug 21, 2006
- Last updated
- Mar 12, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16587 | KY | Primary |
| Emergency Medicine Physician | 207P00000X | 39323 | TN |
Addresses
Primary practice location
529 Capp Harlan Rd
Tompkinsville, KY 42167-1808
Mailing address
PO Box 84
Jamestown, KY 42629-0084
Phone (270) 343-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64165871 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JMHC Inc | Past | Accepting new patients | |
| Fulton Emergency Services II, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Past | Accepting new patients |
| Logan Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Fulton, KY
- NPI 1316905078
-
dba Nicholas County Rural Health Clinic
- Rural Health Clinic/Center
- Carlisle, KY
- NPI 1093042038
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1770699068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84",
"city": "JAMESTOWN",
"state": "KY",
"postal_code": "426290084",
"telephone_number": "270-343-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 CAPP HARLAN RD",
"city": "TOMPKINSVILLE",
"state": "KY",
"postal_code": "421671808",
"telephone_number": "270-487-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "RONILO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "16587",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "39323",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64165871",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tompkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.