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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2007.

{
    "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

All providers in Westminster, MD · Prosthetic/Orthotic Supplier in Maryland

Sources for this page

Verify at the official NPI Registry.