Mark P Diamond MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D0022200 Issued in MD

Legal business name

MARK P DIAMOND MD PA

Practice address

9105 Franklin Square Dr
Suite 308
Baltimore, MD 21237-3930

Phone

(410) 574-5877

Fax

(410) 574-5879

NPI assigned

Dec 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Philip Diamond, M.D.NPI 1912081019

Title

President

Phone

(410) 574-5877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Mark Philip Diamond, MD

  • Gastroenterology Physician
  • Baltimore, MD
  • NPI 1912081019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1292025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292025600000",
    "number": "1891098919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373930",
            "telephone_number": "410-574-5877",
            "fax_number": "410-574-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373930",
            "telephone_number": "410-574-5877",
            "fax_number": "410-574-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P DIAMOND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-11",
        "last_updated": "2010-12-11",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-574-5877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0022200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Marinzel
• Maritime Lithotripsy, LLC
• Marjorie Gail Falk,
• Mark a. Deitch, MD, LLC
• Mark H. Lowitt MD, LLC
• Mark Reader, PH.D., P.a.
• Alexander Mark
• Bernadette V Mark, LGSW
• Katrina Schafer Mark, MD
• Kevin Mark, DPT

• Medical Specialty Clinic/Center in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.