DIANA MEDINA


Address: 11513 N Main St, Jacksonville, FL 32218-4002
Phone: 9047516200

DIANA MEDINA (NPI# 1023419728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023419728
Entity Type Individual
Full Name DIANA MEDINA
Credential P.A.
Practice Address 11513 N Main St
Jacksonville
FL 32218-4002
Mailing Address 6520 Fort Caroline Rd
Jacksonville
FL 32277-2044
Practice Telephone 9047516200
Practice Fax Number 9047511600
Mailing Telephone 9047453618
Mailing Fax Number 9047224271
Enumeration Date 2014-09-12
Last Update Date 2014-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PAT9108228 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers DIANA MEDINA

NPI Name Taxonomy Address Enumeration
1558903757 Diana Esther Medina Technician 31225 Water Ave, Nuevo, CA 92567-9760 2019-10-09
1285082750 Diana Yezenia Medina Case Manager/Care Coordinator 50 South Anaheim Blvd, Suite 241, Anaheim, CA 92805-2961 2016-05-25
1447243522 Diana Viola Medina Nurse Practitioner 3775 Southwestern Blvd, Ste A, Orchard Park, NY 14127 2005-08-24
1205478617 Diana Azucena Medina Counselor 7979 Minnesota Rd Apt F, Corona, CA 92881-4316 2019-10-17
1871052290 Diana Marie Medina Counselor 110 Branchwood Dr Ste B, Jacksonville, NC 28546-5919 2019-03-15
1447748868 Diana Medina Technician 8670 W Cheyenne Ave Ste 135, Las Vegas, NV 89129-7460 2018-05-01
1760886121 Diana Medina Psychologist 11011 S 48th St Ste 200, Phoenix, AZ 85044-1788 2014-10-14
1730296013 Diana Jeannette Medina Physical Therapist 1650 E Walnut St, Ste A, Pasadena, CA 91106-1619 2006-08-24
1003827551 Diana Marcela Medina Dentist 11980 San Vicente Blvd, Suite 505, Los Angeles, CA 90049-5012 2006-08-10
1285678268 Diana S Medina Counselor 3031 Ih 10 W, San Antonio, TX 78201-5159 2006-06-16

Office Location

Street Address 11513 N MAIN ST
City JACKSONVILLE
State FL
Zip Code 32218-4002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538146048 Patrick Deverell Bianchi Specialist 11513 N Main St, Jacksonville, FL 32218-4002 2005-12-27
1467944918 Courtney Michelle Griffin Physician Assistant 11513 N Main St, Jacksonville, FL 32218-4002 2018-05-31
1679071773 Samantha Ericksen Physician Assistant 11513 N Main St, Jacksonville, FL 32218-4002 2018-01-24
1184081465 Elizabeth Breza Nurse Practitioner 11513 N Main St, Jacksonville, FL 32218 2016-01-18
1710237276 Elizabeth Keeler Marshall Physician Assistant 11513 N Main St, Jacksonville, FL 32218-4002 2012-09-12
1467718007 Joan Helen Mccaulie Internal Medicine 11513 N Main St, Jacksonville, FL 32218-4002 2012-04-09
1235403221 Baptist Cardiology, Inc. Internal Medicine 11513 N Main St, Jacksonville, FL 32218-4002 2012-03-08
1861506644 Zhi J Yu Family Medicine 11513 N Main St, Jacksonville, FL 32218-4002 2006-08-18
1306861240 Burton H. Mendel Physician Assistant 11513 N Main St, Jacksonville, FL 32218-4002 2006-07-13
1245255199 Oceanway Medical Center, Inc. Family Medicine 11513 N Main St, Jacksonville, FL 32218-4002 2006-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684170 Damon Lamar Baker Nurse Practitioner 12533 Sampson Rd, Jacksonville, Fl, FL 32218 2020-09-21
1578199303 First Coast Health Ventures, LLC Skilled Nursing Facility 15480 Max Leggett Parkway, Jacksonville, FL 32218 2020-03-12
1932679594 Alaina Rachelle Stanley Counselor 11683 Spring Board Dr, Jacksonville, FL 32218 2018-11-27
1508345133 War Cry Ministry Inc Counselor 435 Eric Ave, Jacksonville, FL 32218 2018-08-14
1285111484 St Vincent's Full Service Urgent Care, LLC Clinic/Center 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 2018-07-20
1427544501 Derrick Roberts Behavioral Analyst 11302 Forestdale Rd, Jacksonville, FL 32218 2018-07-02
1215420229 Companion & Compassion LLC Home Health 856 Poydras Ln W, Jacksonville, FL 32218 2018-06-13
1952894784 Michael Alexander Aaro Dentist 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 2018-06-06
1235629445 Melissa C Moree Counselor 13453 Main St. North, Suite 104, Jacksonville, FL 32218 2018-05-14
1861900896 Sheila Nowlin Physical Therapist 1034 Dunn Ave, Jacksonville, FL 32218 2018-01-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32218

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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