Ivona Pesek Diamond

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD066245L Issued in PA

Practice address

1821 Fulton St
Harrisburg, PA 17102-1522

Phone

(717) 230-3906

Fax

(717) 230-3914

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• CRHS@ Hamilton Health Center

  dba Hamilton Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1023058534
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760589758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 FULTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021522",
            "telephone_number": "717-230-3906",
            "fax_number": "717-230-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 FULTON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171021522",
            "telephone_number": "717-230-3906",
            "fax_number": "717-230-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "IVONA",
        "middle_name": "PESEK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD066245L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017338870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravinder S Dhatt, MD
• Abhay Dhillon, DO
• Alexa Grace Di Giovanni, PA-C
• Diakon Lutheran Social Ministries (its Family Life Services Out Patient Mental Health Clinic)
• Chloie Diamond
• Jonathan R Diamond, MD
• Stephanie P Diamond, MD
• Derek Anthony Diangelis, DO
• Aminata Diaw
• Laura Elizabeth Diaz-Luciano, M. ED, BCBA

• Pediatrics Physician in Harrisburg, PA
• Providers in Harrisburg, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.