NPIMap

Organization Active NPI

Foot Surgi-Center of Owings Mills, LLC

  • Ambulatory Surgical Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1659377166
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A1397 Issued in MD
Legal business name
FOOT SURGI-CENTER OF OWINGS MILLS, LLC
Practice address
25 Crossroads Dr
Ste 410
Owings Mills, MD 21117-5439
Phone
(410) 363-2233
Fax
(410) 363-2235
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Dr. Eric L Diamond, DPMNPI 1629075262
Title
Owner
Phone
(410) 363-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A1397 MD Primary

Addresses

Primary practice location

25 Crossroads Dr
Ste 410
Owings Mills, MD 21117-5439

Mailing address

25 Crossroads Dr
Ste 410
Owings Mills, MD 21117-5439
Phone (410) 363-2233

Other identifiers 8

IdentifierTypeStateIssuer
3768322OtherAETNA HMO
406146200MedicaidMD
P10037OtherINFORMED
64190001OtherMDBCBS
689786OtherNCPPO
109235OtherEMPLOYERS HEALTH PLAN
RPIOtherDCBCBS
7973633OtherAETNA PPO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1659377166",
    "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": "211175439",
            "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": "25 CROSSROADS DR",
            "address_2": "STE 410",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175439",
            "telephone_number": "410-363-2233",
            "fax_number": "410-363-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT SURGI-CENTER OF OWINGS MILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-363-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": "A1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3768322",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406146200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "P10037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64190001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "689786",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYERS HEALTH PLAN",
            "identifier": "109235",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RPI",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7973633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.