Paul Thomas Diaz, | |
6696 Us Highway 20a, Delta, OH 43515-9799 | |
(419) 822-3242 | |
(419) 822-9008 |
Full Name | Paul Thomas Diaz |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 6696 Us Highway 20a, Delta, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295417236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0034262 (Ohio) | Primary |
Entity Name | Fchc Medical Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598821175 PECOS PAC ID: 8022018704 Enrollment ID: O20070103000005 |
Mailing Address | Practice Location Address |
---|---|
Paul Thomas Diaz, 6696 Us Highway 20a, Delta, OH 43515-9799 Ph: (419) 822-3242 | Paul Thomas Diaz, 6696 Us Highway 20a, Delta, OH 43515-9799 Ph: (419) 822-3242 |
Mary Ann Sintobin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8284 County Road J, Delta, OH 43515 Phone: 419-403-0634 | |
Jennifer Baker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 Oakwood Ln, Delta, OH 43515 Phone: 419-822-1669 | |
Jenna Kay Tippie, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Meadow Lane Dr, Delta, OH 43515 Phone: 419-389-7541 |