Jose A Diaz (NPI# 1447231790, PAC ID# 1850383944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1447231790 |
| PAC ID by PECOS | 1850383944 |
| Professional Enrollment ID | I20040331000012 |
| Full Name | Jose A Diaz |
| Organization Legal Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Address |
716 E Manitoba Ave Ellensburg WA 98926-3842 |
| Phone Number | 5099253151 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547179608 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501333 | KITTITAS VALLEY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 5099253151 | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Organization Legal Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maribel Serrano | Obstetrics/gynecology | Kittitas County Public Hospital Dist 1 | 700 E Manitoba Ave, Suite 101, Ellensburg, WA 98926-3885 |
| Brett J White | Physician Assistant | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Auren C O'connell | Nurse Practitioner | Kittitas County Public Hospital Dist 1 | 201 Alpha Way, Cle Elum, WA 98922-1045 |
| Reese A Ullas | Physician Assistant | Kittitas County Public Hospital Dist 1 | 603 S Chestnut St, Ellensburg, WA 98926-3875 |
| Ada Cheung | Orthopedic Surgery | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Suite D, Ellensburg, WA 98926-4815 |
| Mark W Larson | Family Medicine | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Thomas Penoyar | General Surgery | Kittitas County Public Hospital Dist 1 | 611 S Chestnut St, Suite A, Ellensburg, WA 98926-4815 |
| Holly J Dawson | Obstetrics/gynecology | Kittitas County Public Hospital Dist 1 | 700 E Manitoba Ave, Suite 101, Ellensburg, WA 98926-3885 |
| Susan M Oldenkamp | Dermatology | Kittitas County Public Hospital Dist 1 | 700 E Manitoba Ave, Suite 101, Ellensburg, WA 98926-3885 |
| Larry D Birger | Internal Medicine | Kittitas County Public Hospital Dist 1 | 201 Alpha Way, Cle Elum, WA 98922-1045 |
| Street Address |
716 E MANITOBA AVE |
| City | ELLENSBURG |
| State | WA |
| Zip | 98926-3842 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett J White | Physician Assistant | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Mark W Larson | Family Medicine | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Carissa A Dahl | Nurse Practitioner | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Kevin B Martin | Family Medicine | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Catherine C Patnode | Nurse Practitioner | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Anna R Collins | Nurse Practitioner | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Julia Riel | Physician Assistant | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Anna Frances Parr | Physician Assistant | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Annaliese Stone | Family Medicine | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Desirae Bloomquist | Nurse Practitioner | Kittitas County Public Hospital Dist 1 | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myron Harold Linder | Chiropractic | 1011 N Alder St, 1 Linder Chiropractic Center, Ellensburg, WA 98926-2699 | |
| Sandra Lou Linder | Chiropractic | 1011 N Alder St, Ellensburg, WA 98926-2699 | |
| Paula E Hagemeyer | Occupational Therapy | 213 W 4th St, Kittitas Occupational Therapy Services, Ellensburg, WA 98926-2855 | |
| Rebecca L Palmer-overmiller | Clinical Social Worker | Comprehensive Healthcare | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 |
| Carol A Gilliom | Clinical Social Worker | Comprehensive Healthcare | 707 N Pearl St, Suite E, Ellensburg, WA 98926-2938 |
| Andrea Tierney | Physical Therapy | Argonaut Peak Physical Therapy, Inc. Ps | 722 E University Way, Ellensburg, WA 98926-2947 |
| Jonathan T Suttles | Physical Therapy | Argonaut Peak Physical Therapy, Inc. Ps | 722 E University Way, Ellensburg, WA 98926-2947 |
| Lisa Marie Godfrey Martin | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Paul Reppas | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Joseph C Mccarty Jr. | Psychologist, Clinical | Valley Psychological Services | 206 W 1st Ave, Ellensburg, WA 98926-3002 |
| Find all physicians in zip 98926 | |||
| City | ELLENSBURG |
| Zip Code | 98926 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ELLENSBURG + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jose A Diaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.