MR. DEREK DENNIS DIAZ (NPI# 1780952614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780952614 |
| Entity Type | Individual |
| Full Name | MR. DEREK DENNIS DIAZ |
| Credential | PA-C |
| Practice Address |
2333 N 6th St Grand Junction CO 81501 |
| Mailing Address |
2333 N 6th St Grand Junction CO 81501-2001 |
| Practice Telephone | 9702981782 |
| Practice Fax Number | 9706928301 |
| Mailing Telephone | 9702981782 |
| Mailing Fax Number | 9702443043 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4748 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000143760 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 29 1/2 Rd, Grand Junction, CO 815045383 | 9702981782 | 9706928301 |
| Street Address |
2333 N 6TH ST |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598706640 | James R Pasterz | Family Medicine | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2006-06-09 |
| 1407453517 | Stephanie L Gatlin | Dental Hygienist | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2020-10-02 |
| 1275148744 | Zachary Richard Diamond | Dentist | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2020-09-11 |
| 1245795806 | Steven Martinez | Social Worker | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2019-02-07 |
| 1841795846 | Meredith Anne Banks | Dentist | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2018-03-29 |
| 1770087611 | Bradley Robert Kessler | Student in an Organized Health Care Education/Training Program | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2018-03-23 |
| 1417468547 | Rosa Louise Brey Gardner | Physician Assistant | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2017-10-16 |
| 1750812079 | Christopher Wood | Student in an Organized Health Care Education/Training Program | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2017-03-27 |
| 1124577325 | Brenda Badke Landon | Dental Hygienist | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2016-09-28 |
| 1750739066 | Patrick Andrews | Dental Hygienist | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1578548863 | Julie Ann Schwarz | Physician Assistant | 2373 G Rd, Ste 280, Grand Junction, CO 81505-1002 | 2005-12-09 |
| 1780680405 | Marcia Ann Mendenhall | Physician Assistant | 1100 Patterson Rd, Grand Junction, CO 81506-8219 | 2005-06-27 |
| 1710531827 | Kirsten Boland | Physician Assistant | 1035 Wellington Ave, Grand Junction, CO 81501-8104 | 2019-07-26 |
| 1053860387 | Ryan Glynn Goodman | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2016-09-28 |
| 1861844292 | Kyle Delong | Physician Assistant | 2373 G Rd Ste 200, Grand Junction, CO 81505-1006 | 2016-07-11 |
| 1811345473 | Alyson J Weirich | Physician Assistant | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2016-05-24 |
| 1790144905 | Laura Fox | Physician Assistant | 750 Wellington Ave, Suite 3a, Grand Junction, CO 81501-6132 | 2016-02-16 |
| 1598181927 | Melanie Dawne Hoch | Physician Assistant | 1060 Orchard Ave, Grand Junction, CO 81501-2997 | 2014-03-10 |
| 1952685109 | Nathan Scott Cameron | Physician Assistant | 2021 N 12th St, Grand Junction, CO 81501-2980 | 2011-10-06 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on MR. DEREK DENNIS DIAZ.
| 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.