MARIO HUMBERTO DIAZ (NPI# 1508803693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508803693 |
| Entity Type | Individual |
| Full Name | MARIO HUMBERTO DIAZ |
| Credential | MD |
| Practice Address |
2001 Medical Pkwy Acp 4th Floor/surgical Hospitalist Ste. Annapolis MD 21401-3280 |
| Mailing Address |
Po Box 64834 Baltimore MD 21264-4834 |
| Practice Telephone | 4434811372 |
| Practice Fax Number | 4434811360 |
| Mailing Telephone | 4434816573 |
| Mailing Fax Number | 4434816515 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | D0022049 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL DEPT OF LABOR (WORKMAN'S COMP) | 145726104 | 01 | |
| CAREFIRST | 89468104 | 01 | |
| CAREFIRST | K585007 | 01 | |
| AETNA HMO | 6718667 | 01 | |
| AETNA PPO | 4071161 | 01 | |
| KAISER PERMANENTE | 112414 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770926297 | Mario Alberto Diaz | Anesthesiology | 10120 Sw 81st St, Miami, FL 33173-4006 | 2013-04-15 |
| 1932761228 | Mario Vincent Diaz | Physical Therapist | 20045 N 19th Ave Bldg 8, Phoenix, AZ 85027-4267 | 2019-07-08 |
| 1053896738 | Mario Diaz | Social Worker | 40 Montgomery St, New York, NY 10002-4808 | 2018-09-28 |
| 1487944625 | Mario Tito Diaz | Family Medicine | 1520 N Senate Ave, Indianapolis, IN 46202-2213 | 2011-04-08 |
| 1235461328 | Mario Alberto Diaz | Durable Medical Equipment & Medical Supplies | 2210 N Veterans Blvd, Ste 120, Eagle Pass, TX 78852-6494 | 2010-02-01 |
| 1164460697 | Mario Diaz | Internal Medicine | 2020 Capitol St Ne, Salem, OR 97303-3244 | 2006-06-04 |
| Street Address |
2001 MEDICAL PKWY ACP 4TH FLOOR/SURGICAL HOSPITALIST STE. |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269343 | Karl Derivas Holschuh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 Medical Pkwy, 2nd Floor Donner Pavilion, Annapolis, MD 21401-3280 | 2005-07-14 |
| 1821698952 | Courtney Erin Lamb | Nurse Practitioner | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-10-28 |
| 1013537406 | Heather Zack | General Acute Care Hospital | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-26 |
| 1649890484 | Rebecca Scarlett Allen | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-22 |
| 1003435157 | Caroline Elizabeth Thomas | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-09 |
| 1275162604 | Nirmala Kammar Manjappachar | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1144859505 | Sabina Nasirova | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1528697976 | Ebenezer O. Oloyede | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-07 |
| 1699304253 | Elnaz Ebrahimihoor | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-06 |
| 1770112641 | Jessica Urania Reyes-peterson | Student in an Organized Health Care Education/Training Program | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124139662 | Barry H. Wells | Surgery | 1905 Kingswood Ct, Annapolis, MD 21401-2945 | 2006-08-31 |
| 1932116878 | Jon A Hupp | Surgery | 888 Bestgate Rd Ste 300, Annapolis, MD 21401-2955 | 2006-08-02 |
| 1093710535 | Steven L Quigley | Surgery | 2001 Medical Parkway, Annapolis, MD 21401-3280 | 2005-06-20 |
| 1578006508 | Keir Thelander | Surgery | 2000 Medical Pkwy, Belcher Pavilion Suite 600, Annapolis, MD 21401-3742 | 2016-11-22 |
| 1992197453 | Anne Arundel Physician Group, LLC | Surgery | 2001 Medical Pkwy, Annapolis, MD 21401-3280 | 2015-02-20 |
| 1962821652 | Syed Ahsan Karim | Surgery | 2000 Medical Pkwy Ste 600, Annapolis, MD 21401-3748 | 2014-04-10 |
| 1013335082 | Brandon Jamal Anderson | Surgery | 2001 Medical Pkwy, Annapolis, MD 21401-3773 | 2014-04-06 |
| 1649612599 | Jordan F Hebert | Surgery | 2000 Medical Pkwy Ste 600, Annapolis, MD 21401 | 2013-07-20 |
| 1619311735 | Richard Lu | Surgery | 2000 Medical Pkwy Ste 600, Annapolis, MD 21401-3748 | 2013-04-19 |
| 1619236973 | Christopher Emilio Graziano | Surgery | 600 Ridgely Ave, Annapolis, MD 21401-1001 | 2012-05-08 |
| Find all providers in ANNAPOLIS | ||||
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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.