Individual provider Active NPI

Elizabeth Diaz, PA-C

  • Surgical Physician Assistant
  • Plano, TX
National Provider Identifier
1942529946
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA08547 Issued in TX
Practice address
6020 W Parker Rd Ste 470
Plano, TX 75093-8338
Phone
(972) 608-8868
Fax
(972) 608-0366
NPI assigned
May 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 008388-1 NY
Surgical Physician Assistant 363AS0400X PA08547 TX Primary

Addresses

Primary practice location

6020 W Parker Rd Ste 470
Plano, TX 75093-8338

Mailing address

6020 W Parker Rd Ste 470
Plano, TX 75093-8338
Phone (972) 608-8868

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ediaz507861@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000638 TX Practitioner - Physician Assistant 6800058041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500

6020 W Parker Rd
Suite 470
Plano, TX 75093-8338
Phone (972) 608-8868

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-3225

6300 W Parker Rd
Suite G25
Plano, TX 75093-8105
Phone (972) 981-4090

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008388NYMDOptometrist
008388-1NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Nov 1, 2014 Accepting new patients
Texas Health Physicians Group CurrentSince Nov 1, 2014 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

6020 W Parker Rd
Ste 470
Plano, TX 75093
Phone (972) 608-8868

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: ediaz507861@direct.texashealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1942529946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 470",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938338",
            "telephone_number": "972-608-8868",
            "fax_number": "972-608-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 470",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938338",
            "telephone_number": "972-608-8868",
            "fax_number": "972-608-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-31",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008388-1",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ediaz507861@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6020 W Parker Rd Ste 470",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750938338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.