Ishimaru Medical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ISHIMARU MEDICAL SERVICES LLC

Practice address

507 Carolina Ave
Chester, WV 26034-1319

Phone

(304) 224-3583

Fax

(304) 459-5050

NPI assigned

Apr 29, 2022

Last updated

Sep 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Jack Diamond, CRNPNPI 1700353539

Title

Medical Director

Phone

(724) 851-5312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Jack Diamond, CRNP

  • Family Nurse Practitioner
  • Beaver Falls, PA
  • NPI 1700353539
  Authorized official Same address or phone

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1487399887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CAROLINA AVE",
            "city": "CHESTER",
            "state": "WV",
            "postal_code": "260341319",
            "telephone_number": "304-224-3583",
            "fax_number": "304-459-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 CAROLINA AVE",
            "city": "CHESTER",
            "state": "WV",
            "postal_code": "260341319",
            "telephone_number": "304-224-3583",
            "fax_number": "304-459-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHIMARU MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "724-851-5312",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Gittings
• Leslie B Gough
• Harvest Healthcare Solutions LLC (Harvest Therapy Services)
• Brandi Headley
• Robyn Huffman
• James Thomas Karnoupakis, RPH
• Nancy Kifer-Reed
• Fred D Kinsey, D.D.S.
• Krzysztof J Kubicki, MD
• Krzysztof Kubicki, M.D.

• Family Medicine Physician in Chester, WV
• Providers in Chester, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.