EDWIN A DIAZ (NPI# 1275508939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275508939 |
| Entity Type | Individual |
| Full Name | EDWIN A DIAZ |
| Credential | M.D. |
| Practice Address |
3401 Springhill Dr Suite345 North Little Rock AR 72117-2924 |
| Practice Telephone | 5019452121 |
| Practice Fax Number | 5015371875 |
| Mailing Telephone | 5019452121 |
| Mailing Fax Number | 5015371875 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | E4076 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154196001 | 05 | |
| AR | RAILROAD MEDICARE | P00137126 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992823520 | Edwin Manuel Diaz | Occupational Therapist | 140 N Bicycle Path, Selden, NY 11784-2287 | 2007-03-26 |
| 1609331305 | Edwin Edu Diaz | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-02-06 |
| Street Address |
3401 SPRINGHILL DR SUITE345 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184077802 | Anne M Hiegel | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2016-07-18 |
| 1972944064 | Gastro Clinics of Arkansas, Pllc | Specialist | 3401 Springhill Dr, Suite 400a, North Little Rock, AR 72117-2924 | 2013-07-17 |
| 1447556048 | Capes Dialysis LLC | Clinic/Center | 3401 Springhill Dr, Ste 190, North Little Rock, AR 72117-2924 | 2011-01-31 |
| 1205131869 | Dr Dave L Ouellette, Dds, Pa | Dentist | 3401 Springhill Dr, Suite 285, North Little Rock, AR 72117-2924 | 2011-01-12 |
| 1295963379 | Johnathan David Goodwin | Internal Medicine | 3401 Springhill Dr, Suite 400, North Little Rock, AR 72117 | 2009-06-26 |
| 1972730463 | Nicole Tidwell Turner | Registered Nurse | 3401 Springhill Dr, North Little Rock, AR 72117-2924 | 2009-06-11 |
| 1215189451 | Kelli Kostelnik | Dietitian, Registered | 3401 Springhill Dr, # 190, North Little Rock, AR 72117-2924 | 2008-10-21 |
| 1386825354 | Peyton E Rice Jr. | Urology | 3401 Springhill Dr, Suite 240, North Little Rock, AR 72117-2924 | 2007-11-19 |
| 1386790137 | Shannon Case | Legal Medicine | 3401 Springhill Dr, Ste 390, North Little Rock, AR 72117-2924 | 2007-01-26 |
| 1922118496 | Gary W Fowler | Nurse Practitioner | 3401 Springhill Dr, Suite 245, North Little Rock, AR 72117-2924 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366739971 | Gerald Mark Heulitt | Urology | 4200 Stockton Dr, North Little Rock, AR 72117-2915 | 2011-07-03 |
| 1366576936 | Arkansas Urology | Urology | 4200 Stockton Drive, North Little Rock, AR 72117-2924 | 2007-03-15 |
| 1386825354 | Peyton E Rice Jr. | Urology | 3401 Springhill Dr, Suite 240, North Little Rock, AR 72117-2924 | 2007-11-19 |
| 1750585758 | North Pulaski Urology Pl | Urology | 2215 Wildwood Ave, North Little Rock, AR 72120-5089 | 2007-06-13 |
| 1346265584 | Twin City Urology Associates, P.a. | Urology | 3343 Springhill Dr, Suite 3010, North Little Rock, AR 72117-2929 | 2006-07-12 |
| 1932161676 | Peyton E Rice Md Urology Pa | Urology | 3401 Springhill Dr, Suite 240, North Little Rock, AR 72117-2924 | 2006-04-06 |
| 1891760583 | Ronald Griffin Kuhn | Urology | 3401 Springhill Dr, Suite 345, North Little Rock, AR 72117-2924 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295259406 | Bruno Lopes Cancado Machado | Urology | 4301 W Markham St Ste 540, Little Rock, AR 72205-7101 | 2017-07-29 |
| 1093242000 | Baxter County Regional Hospital Inc | Urology | 628 Hospital Dr Ste 2b, Mountain Home, AR 72653-2953 | 2017-05-22 |
| 1730575432 | Renee Powell Warford | Urology | 1 Mercy Ln Ste 200a, Hot Springs, AR 71913-6457 | 2015-04-09 |
| 1215370861 | Nathan R Littlejohn | Urology | 1662 Higdon Ferry Rd Ste 140, Hot Springs, AR 71913 | 2013-04-14 |
| 1487972527 | Rudolph Noah Bowens Jr. | Urology | 303 E Matthews Ave Ste 100, Jonesboro, AR 72401-3113 | 2010-05-13 |
| 1982838488 | Robert Teryl Brooks Jr. | Urology | 4611 Stevens Dr, Pine Bluff, AR 71603-7303 | 2009-05-12 |
| 1255578894 | Alina Mielnick, Md, Pa | Urology | 601 Bd Highway 71 North, Mena, AR 71953-4394 | 2009-01-20 |
| 1225297260 | Diana Kay Braziel | Urology | 3400 Se Macy Road, Suite 18, Bentonville, AR 72712 | 2008-06-05 |
| 1437348745 | Enoch Walden Williams | Urology | 3817 S Culberhouse Rd, Jonesboro, AR 72404-9067 | 2007-10-23 |
| 1801091244 | Robert Guy Lassonde | Urology | 205 Purple Martin Ln, Hot Springs, AR 71913-8599 | 2007-06-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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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.