DR. MIRZA E MORALES-DIAZ (NPI# 1568568723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568568723 |
| Entity Type | Individual |
| Full Name | DR. MIRZA E MORALES-DIAZ |
| Credential | M.D. |
| Practice Address |
412 Devonia St Roane Medical Center Harriman TN 37748-2009 |
| Mailing Address |
Po Box 3061 Park Slope Family Health Center Cleveland TN 37320-3061 |
| Practice Telephone | 8659857234 |
| Practice Fax Number | 8652913224 |
| Mailing Telephone | 8659857012 |
| Mailing Fax Number | 8652913224 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2013-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 48587 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02253538 | 05 |
| Street Address |
412 DEVONIA ST ROANE MEDICAL CENTER |
| City | HARRIMAN |
| State | TN |
| Zip Code | 37748-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843519 | Patricia L Douglas | Nurse Anesthetist, Certified Registered | 412 Devonia St, Harriman, TN 37748-2009 | 2005-10-04 |
| 1477834604 | Melissa Y Benton | Physician Assistant | 412 Devonia St, Harriman, TN 37748-2009 | 2011-09-01 |
| 1316190069 | Roane County Medical Center | Psychiatric Unit | 412 Devonia St, Harriman, TN 37748-2009 | 2008-10-28 |
| 1649479361 | Douglas Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 412 Devonia St, Harriman, TN 37748-2009 | 2007-07-12 |
| 1104023704 | Roane Medical Center | Internal Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2007-06-28 |
| 1437354016 | Ronald Burney | Pharmacist | 412 Devonia St, Harriman, TN 37748 | 2007-06-15 |
| 1346457959 | Roane Medical Center | Psychiatric Hospital | 412 Devonia St, Harriman, TN 37748-2009 | 2007-05-16 |
| 1922215532 | Roane County Medical Center | Psychiatric Hospital | 412 Devonia St, Harriman, TN 37748-2009 | 2007-05-16 |
| 1356402358 | New Day, Incorporated | Clinic/Center | 412 Devonia St, Harriman, TN 37748-2009 | 2006-12-13 |
| 1598865958 | Charles Brooks | Emergency Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2006-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904324 | Jared Michael Orick | Nurse Practitioner | 1855 Tanner Way Ste 110, Harriman, TN 37748 | 2018-06-03 |
| 1447769062 | Jonni Rhea Wood | Nurse Practitioner | 2497 S Roane St Ste 110, Harriman, TN 37748 | 2017-09-26 |
| 1396173423 | Roane Urgent Care Clinic LLC | Clinic/Center | 2497 S. Roane St, Suite 110 B, Harriman, TN 37748 | 2013-10-29 |
| 1861837080 | Rebecca T Jordan | Community Health Worker | 257 Patton Lane, Harriman, TN 37748 | 2013-05-01 |
| 1891944765 | Kristine Joan Dyer | Nurse Practitioner | 8045 Roane Medical Center Drive, Harriman, TN 37748 | 2008-09-15 |
| 1104047703 | Doyle Alfred Griffis | Pharmacist | 319 N. Roane Street, Harriman, TN 37748 | 2007-05-01 |
| 1629107651 | Paula A Margrave | Pharmacist | Roane Plaza Hwy 27, Food City Pharmacey #634, Harriman, TN 37748 | 2007-03-05 |
| 1952471476 | Roane Chiropractic Center | Chiropractor | 1208 South Roane Street, Harriman, TN 37748 | 2006-11-09 |
| 1487756755 | Douglas Clark | Family Medicine | 2317 South Roane Street, Harriman, TN 37748 | 2006-09-05 |
| 1588681068 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1130 S Roane Street, Hwy. 27, Harriman, TN 37748 | 2006-07-17 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598865958 | Charles Brooks | Emergency Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2006-09-25 |
| 1477584936 | Douglas M Batchelor | Emergency Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2006-07-05 |
| 1720019284 | William J Black | Emergency Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2006-07-05 |
| 1437180908 | Bennie W Whitehead | Emergency Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2006-07-05 |
| 1831128404 | Robert A Dukes | Emergency Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2006-07-03 |
| 1700815396 | John R Staley Jr. | Emergency Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418710 | Tn Tele Md PC | Emergency Medicine | 578 Ivy Dr, Oakland, TN 38060-3132 | 2020-05-13 |
| 1891287090 | Shelby Linwood Gillette Jr. | Emergency Medicine | 170 S Goodlett St Ste A, Memphis, TN 38117-2914 | 2018-06-04 |
| 1225529621 | Hometown Family Medical | Emergency Medicine | 909 Hillsboro Blvd, Manchester, TN 37355-2025 | 2018-05-22 |
| 1780181016 | Jacob Wilson | Emergency Medicine | 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-12 |
| 1285155531 | Terry Curtis Fultz | Emergency Medicine | 2807 Wallace Ct, Kingsport, TN 37664-5832 | 2017-06-27 |
| 1194255216 | Front Door Medicine Pllc | Emergency Medicine | 3276 Chestnut Cir Nw, Cleveland, TN 37312-2113 | 2017-06-13 |
| 1710413885 | Michael Sidney Reich | Emergency Medicine | 665 Tennessee St, Memphis, TN 38103-8794 | 2017-05-10 |
| 1669907325 | Stephen Lee | Emergency Medicine | 1005 Dr. D B Todd Jr. Blvd., Old Hosp. Bldg., 3rd Floor, Nashville, TN 37208-1224 | 2017-05-01 |
| 1215468277 | Jarrett Woock | Emergency Medicine | 7402 Lee Hwy, Chattanooga, TN 37421-1405 | 2017-03-22 |
| 1871049023 | Keystone Medical Services of West Point Inc | Emergency Medicine | 6075 Poplar Avenue, Suite 401, Memphis, TN 38119-0114 | 2016-08-28 |
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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.