NPIMap

Organization Active NPI

Diligent Medical

  • Public Health or Welfare Agency
  • Chester, VA
National Provider Identifier
1962095737
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DILIGENT MEDICAL
Practice address
2605 Eagle Rock CT
Chester, VA 23831-7051
Phone
(804) 253-7075
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Mr. Olando Wayne Fuller, QMHPNPI 1245847607
Title
Owner
Phone
(804) 253-7075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2605 Eagle Rock CT
Chester, VA 23831-7051

Mailing address

2605 Eagle Rock CT
Chester, VA 23831-7051
Phone (804) 253-7075

Other names 1

  • EDGE ENTERPRISES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1962095737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 EAGLE ROCK CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317051",
            "telephone_number": "804-253-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 EAGLE ROCK CT",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238317051",
            "telephone_number": "804-253-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILIGENT MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "OLANDO",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-253-7075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGE ENTERPRISES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.