Organization Active NPI

Diamed, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Canton, OH
National Provider Identifier
1669470977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMEL 11048 Issued in OH
Legal business name
DIAMED, INC.
Practice address
3670 Progress St NE
Canton, OH 44705-4438
Phone
(330) 588-8966
Fax
(330) 588-8179
NPI assigned
Jul 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Scott Wakser
Title
President
Phone
(330) 588-8966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMEL 11048 OH Primary

Addresses

Primary practice location

3670 Progress St NE
Canton, OH 44705-4438

Mailing address

3670 Progress St NE
Canton, OH 44705-4438
Phone (330) 588-8966

Other identifiers 3

IdentifierTypeStateIssuer
2020771MedicaidOH
91490OtherOHQUALCHOICE PROVIDER ID
000000155860OtherOHANTHEM BC/BS PROVIDER ID

National Provider Directory

National Provider Directory

Locations

3670 Progress St NE
Canton, OH 44705
Phone (330) 588-8966

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669470977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 PROGRESS ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447054438",
            "telephone_number": "330-588-8966",
            "fax_number": "330-588-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 PROGRESS ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447054438",
            "telephone_number": "330-588-8966",
            "fax_number": "330-588-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAKSER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-588-8966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL 11048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020771",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE PROVIDER ID",
            "identifier": "91490",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS PROVIDER ID",
            "identifier": "000000155860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.