Individual provider Active NPI

Amy R Diamond, MD

  • Family Medicine Physician
  • Waynesburg, PA
National Provider Identifier
1821092792
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD068043L Issued in PA
Practice address
430 E Oakview Dr
Suite a
Waynesburg, PA 15370-9729
Phone
(724) 627-8582
Fax
(724) 627-7756
NPI assigned
Jun 9, 2005
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD068043L PA Primary

Addresses

Primary practice location

430 E Oakview Dr
Suite a
Waynesburg, PA 15370-9729

Mailing address

430 E Oakview Dr
Suite a
Waynesburg, PA 15370-9729
Phone (724) 627-8582

Other identifiers 6

IdentifierTypeStateIssuer
101021OtherPATHREE RIVERS
2305348OtherPAAETNA
P001714OtherPAGATEWAY
331193OtherPABCBS
0017789730001MedicaidPA
250117OtherPAUPMC

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address adiamond115024@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address adiamond115024@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address adiamond115024@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080114000456 PA Practitioner - Family Practice 2264513456 Reassigns benefits to 2 organizations
I20180102001986 WV Practitioner - Family Practice 2264513456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

401 E Murphy Ave
Wvu Heart and Vascular Inst Connesv
Connellsville, PA 15425-2724
Phone (844) 424-0413

451 Murtha Dr
Waynesburg, PA 15370-7010
Phone (855) 988-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue111
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD068043LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Nov 17, 2017 Accepting new patients
West Virginia University Medical Corporation Family Medicine CurrentSince Nov 17, 2017 Accepting new patients
Washington Physician Services Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
SRMC Healthcare Group LLC Past Accepting new patients
Greene County Primary Care, PC Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

350 Bonar Ave
Waynesburg, PA 15370
Phone (724) 627-2606

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

608 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-1313

Interoperability endpoints

  • Direct secure messaging: adiamond115024@direct.wvuhsdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1821092792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E OAKVIEW DR",
            "address_2": "SUITE A",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153709729",
            "telephone_number": "724-627-8582",
            "fax_number": "724-627-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E OAKVIEW DR",
            "address_2": "SUITE A",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153709729",
            "telephone_number": "724-627-8582",
            "fax_number": "724-627-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "AMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD068043L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "101021",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2305348",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P001714",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "331193",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017789730001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "250117",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adiamond115024@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "DIRECT ADDRESS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adiamond115024@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adiamond115024@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.