Joanny Ezekiel James Diaz, RT

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

07030501 Issued in PA

Practice address

204 S Front St
Lemoyne, PA 17043

Phone

(717) 547-5407

Fax

(800) 858-4155

NPI assigned

Nov 10, 2015

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 15

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Anchor Enterprise LLC

  • Home Health Agency
  • Wormleysburg, PA
  • NPI 1003385469
  NPD (past) Authorized official
• C&Opd, LLC

  dba Anchor Home Health

  • Home Health Agency
  • Harrisburg, PA
  • NPI 1053866640
  NPD

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1821461054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S FRONT ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431100",
            "telephone_number": "717-547-5407",
            "fax_number": "800-858-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S FRONT ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "17043",
            "telephone_number": "717-547-5407",
            "fax_number": "800-858-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 S Front St",
            "address_purpose": "LOCATION",
            "city": "Lemoyne",
            "state": "PA",
            "postal_code": "17043",
            "country_code": "US",
            "telephone_number": "717-547-5407",
            "fax_number": "800-858-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JOANNY",
        "middle_name": "EZEKIEL JAMES",
        "name_prefix": "Mr.",
        "credential": "RT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "07030501",
            "primary": true
        },
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279E0002X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Palliative/Hospice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YM014666",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Deardorff, DC
• Robert Delrosario, M.D.
• Richelle Demers, DC
• Carla J Dente, MD
• Dialysis Services of Pennsylvania, Inc- Lemoyne (DCA of Lemoyne, INC.)
• Drayer Physical Therapy Institute LLC
• Drayer Physical Therapy Institute LLC (Drayer Works)
• Diane Helen Du Pont, CNM
• Nam N Duong, PAC
• Alexis Ebling-Stout, RPH

• Home Health Agency in Lemoyne, PA
• Providers in Lemoyne, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.