Elliot Diamond

Primary specialty

Sports Medicine PodiatristTaxonomy code 213ES0000X

License

SC002164L Issued in PA

Legal business name

ELLIOT DIAMOND

Practice address

123 Chestnut St
Ste 201
Philadelphia, PA 19106-3051

Phone

(215) 923-2455

Fax

(215) 923-4535

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Diamond, D.P.M.

Title

Owner

Phone

(215) 923-2455

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1972520609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHESTNUT ST.",
            "address_2": "STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063051",
            "telephone_number": "215-923-2455",
            "fax_number": "215-923-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHESTNUT ST",
            "address_2": "STE 201",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191063051",
            "telephone_number": "215-923-2455",
            "fax_number": "215-923-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT DIAMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-923-2455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "PA",
            "license": "SC002164L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000710490",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elleoquent Health Services
• Regina C. Eller, CRNA
• Julia Kathryn Ellerston, M.A., CCC-SLP
• Hanna Sofie Ellingsen, M.D.
• Courtney Ellingsworth, RPH
• Kade Elliot, LPC
• Dustin Elliott, M.D.
• Elizabeth Elliott, MD
• Elizabeth M. Elliott, MD
• Jennifer R Elliott, PA-C

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.