Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason A Diaz, MD

Individual provider Otolaryngology Physician · NPI 1417144353

Dr. Jason A Diaz, MD is an Otolaryngology in Saint Louis, Missouri. Graduated from Medical College of Georgia School of Medicine in 2003, 23 years ago. Practices with Intermountain Ear Nose and Throat Specialists LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
23
Trained at
Medical College of Georgia School of Medicine
Licensed in
MO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4921 Parkview Pl Ste 11A
Saint Louis, MO 63110-1032
Phone: (314) 362-7509
Fax: (314) 747-9744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2009016631 (MO)

Record details

NPI number1417144353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 25, 2007
Last updated in NPPESJanuary 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Intermountain Ear Nose And Throat Specialists Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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