Paul M Diamond, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD032475E Issued in PA

Practice address

1837 Fair Ave
Honesdale, PA 18431-2121

Phone

(570) 253-5838

Fax

(570) 253-1245

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Practices of Northeastern PA

  • Pediatrics Physician
  • Milford, PA
  • NPI 1861722902
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1699757328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312121",
            "telephone_number": "570-253-5838",
            "fax_number": "570-253-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27B Woodlands Dr",
            "address_purpose": "LOCATION",
            "city": "Waymart",
            "state": "PA",
            "postal_code": "184729366",
            "country_code": "US",
            "telephone_number": "570-488-9550",
            "fax_number": "570-488-9553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Ariel",
            "state": "PA",
            "postal_code": "184365606",
            "country_code": "US",
            "telephone_number": "570-689-7565",
            "fax_number": "570-689-4803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Route 6 and 209 Ste 103",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377615",
            "country_code": "US",
            "telephone_number": "570-296-4901",
            "fax_number": "570-296-5480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD032475E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010913960008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010913960009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010913960003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010913960007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Honesdale, PA
• Providers in Honesdale, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.