Diamond Urgent Care and Pain Clinic Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME68139 Issued in FL

Legal business name

DIAMOND URGENT CARE AND PAIN CLINIC CORPORATION

Doing business as

Diamond Medical Center Corporation

Practice address

1650 W Sand Lake Rd
Suite 108
Orlando, FL 32809-7681

Phone

(407) 283-4014

Fax

(407) 601-5988

NPI assigned

Sep 21, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Johnspencer Archinihu, M.D.

Title

Owner

Phone

(407) 283-4014

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DIAMOND MEDICAL CENTER CORPORATION Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1346523875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W SAND LAKE RD",
            "address_2": "SUITE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097681",
            "telephone_number": "407-283-4014",
            "fax_number": "407-601-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W SAND LAKE RD",
            "address_2": "SUITE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097681",
            "telephone_number": "407-283-4014",
            "fax_number": "407-601-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND URGENT CARE AND PAIN CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "ARCHINIHU",
        "authorized_official_first_name": "JOHNSPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-283-4014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME68139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279671600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAMOND MEDICAL CENTER CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adja Gnine Diakite, APRN
• Marci L Dial, ARNP
• Dialysis Ser Central Florida LLC (Home Dialysis DSCF)
• Dialysis Services of Central Florida (Central Orlando DSCF)
• Diamond 4 Inc (Homewatch CareGivers of Orlando)
• Kia A Diamond
• Lisa Diamond, LMHC
• Jessica Diana
• Melisent Diana
• Dianne Clay

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.