Active NPI
Dianna Juarez, MD
- Obstetrics & Gynecology Physician
- Sulphur Springs, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- E-9906
- Practice address
- 113 Airport Rd Ste 200
Sulphur Springs, TX 75482-2193 - Phone
- (903) 439-4917
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E-9906 | AR | Primary |
Addresses
Primary practice location
113 Airport Rd Ste 200
Sulphur Springs, TX 75482-2193
Mailing address
2708 S Rife Medical LN
Ste T40
Rogers, AR 72758-1474
Phone (903) 439-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323252201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas a & M University System, HSC, College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200
3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100
3333 S Pinnacle Hills Pkwy
Suite 600
Rogers, AR 72758-9016
Phone (479) 338-4400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Hopkins County Hospital District | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2708 S Rife Medical Ln
Ste T40
Rogers, AR 72758
Phone (479) 338-4000
Interoperability endpoints
- djuarez767774@directc.mercy.net
- dianna.juarez@direct.hcmh.md
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
dba Hopkins County Memorial Hospital
- Rural Acute Care Hospital
- Sulphur Springs, TX
- NPI 1184618548
-
- Orthopaedic Surgery Physician
- Rogers, AR
- NPI 1063835908
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1952536336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 S RIFE MEDICAL LN",
"address_2": "STE T40",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581474",
"telephone_number": "903-439-4917",
"fax_number": "903-885-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 AIRPORT RD STE 200",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754822193",
"telephone_number": "903-439-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "DIANNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-9906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323252201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.