Chesapeake Podiatry Group PA
Organization Active NPI Prosthetic/Orthotic Supplier · Westminster, MD
NPI 1497710339 · NPPES record last updated Nov 5, 2007
Key facts
- NPI
- 1497710339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- License
- 00898 (MD)
- Legal business name
- CHESAPEAKE PODIATRY GROUP PA
- Practice address
- 910 Washington Rd
Ste D
Westminster, MD 21157 - Phone
- (410) 876-8637
- Fax
- (410) 857-5273
- NPI assigned
- Apr 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Eric L Diamond, DPM
- Title
- Pres Owner
- Phone
- (410) 363-2233
National Provider Directory
Locations
910 Washington Rd
Ste D
Westminster, MD 21157
Phone (410) 876-8637
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 00898 | MD | Yes |
Addresses
Primary practice location
910 Washington Rd
Ste D
Westminster, MD 21157
Mailing address
25 Crossroads Dr
Ste 410
Owings Mills, MD 21117
Phone (410) 363-2233
NPI Registry JSON
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1497710339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CROSSROADS DR",
"address_2": "STE 410",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "21117",
"telephone_number": "410-363-2233",
"fax_number": "410-363-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WASHINGTON RD",
"address_2": "STE D",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "21157",
"telephone_number": "410-876-8637",
"fax_number": "410-857-5273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE PODIATRY GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-20",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "DIAMOND",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRES OWNER",
"authorized_official_telephone_number": "410-363-2233",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "MD",
"license": "00898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Eye Care & Laser Center LLC
- Chesapeake Podiatry Group PA
- Chesapeake Podiatry Group, P.a.
- Chesapeake Podiatry Group, PA
- Chesapeake Urology Associates P.a.
- Chesapeake Urology Associates P.a.
All providers in Westminster, MD · Prosthetic/Orthotic Supplier in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.