RUBEN DIAZ (NPI# 1194751024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194751024 |
| Entity Type | Individual |
| Full Name | RUBEN DIAZ |
| Credential | MD |
| Practice Address |
1553 Janmar Rd Snellville GA 30078 |
| Mailing Address |
1765 Old West Broad St Bldg 2-200 Athens GA 30606-2887 |
| Practice Telephone | 7065491663 |
| Practice Fax Number | 7065468792 |
| Mailing Telephone | 7065491663 |
| Mailing Fax Number | 7065468792 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 59146 | GA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
59146 | GA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
59146 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 720 Old Snellville Hwy, Suite 150, Lawrenceville, GA 300446216 | 7706014340 | |
| 1553 Janmar Rd, Snellville, GA 300785606 | 7065491663 | 7065468792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366432304 | Ruben D Diaz | Dentist | 4010 National St, Corona, NY 11368-2321 | 2005-10-21 |
| 1881115574 | Ruben Daniel Diaz | Audiologist | 3020 Lakeland Highlands Rd, Lakeland, FL 33803-4338 | 2017-07-03 |
| 1073941225 | Ruben Diaz | Nurse Practitioner | 535 E 70th St, Suite 8w-802, New York, NY 10021-4823 | 2013-10-25 |
| 1497793780 | Ruben Diaz | Pediatrics | 300 Longwood Avenue, Children's Hosp. - Dept. of Endocrinolog, Boston, MA 02215 | 2006-06-02 |
| Street Address |
1553 JANMAR RD |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437199312 | Michael Shane Smith | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2006-06-07 |
| 1861910374 | Kelsey C Davis | Physician Assistant | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2017-09-05 |
| 1578939054 | Amanda Diane Holland | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2015-08-19 |
| 1154714277 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2015-03-13 |
| 1679901490 | Drayer Physical Therapy Georgia LLC | Occupational Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2013-10-15 |
| 1023387768 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-12-27 |
| 1265719348 | Kristin Mae Mishrell | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-11-03 |
| 1760768014 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-11-01 |
| 1861623399 | Alaina Marie Lay | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2009-07-31 |
| 1033308739 | Wendy K Grage | Specialist/Technologist, Other | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2007-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447461454 | Southeastern Pain Consultants | Pain Medicine | 1976 Main St E, Suite C, Snellville, GA 30078-6460 | 2007-05-24 |
| 1790875086 | Amarish Kapasi PC | Pain Medicine | 2542 Twilight Vw, Snellville, GA 30078-7722 | 2006-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302998 | Apollo Spine and Pain Center | Pain Medicine | 4415 Front Nine Dr, Cumming, GA 30041-6063 | 2020-09-23 |
| 1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
| 1902433147 | Sun Pain Institute LLC | Pain Medicine | 836 E 65th St Ste 38, Savannah, GA 31405-4495 | 2020-03-26 |
| 1679107338 | Atlanta Interventional Pain Management, LLC | Pain Medicine | 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 | 2020-03-02 |
| 1578193355 | Regenerative Spine and Pain Specialists | Pain Medicine | 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 | 2020-01-22 |
| 1437790839 | Specialty Spine and Pain, PC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 | 2019-10-07 |
| 1154962165 | Specialty Spine and Pain, PC | Pain Medicine | 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 | 2019-10-01 |
| 1659912665 | Specialty Spine and Pain, PC | Pain Medicine | 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 | 2019-10-01 |
| 1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
| 1477106771 | Spine Center of Southeast Georgia LLC | Pain Medicine | 52a Lindsey Lane, Kingsland, GA 31548-6855 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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| 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.