Provider Demographics
NPI:1629075262
Name:DIAMOND, ERIC L (DPM)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:L
Last Name:DIAMOND
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3592
Mailing Address - Country:US
Mailing Address - Phone:410-879-1212
Mailing Address - Fax:410-803-1859
Practice Address - Street 1:535 OLD WESTMINSTER PIKE STE 105
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6267
Practice Address - Country:US
Practice Address - Phone:410-876-8180
Practice Address - Fax:410-857-5273
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00898213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4121973OtherAETNA PPO
229146OtherKAISER
2700091OtherUNITED HEALTHCARE
521009097001OtherTRICARE
MDKY26ELOtherCAREFIRST BCBS
14440OtherEMPLOYERS HEALTH PLAN
30463OtherMAMSI
MD403888600Medicaid
492776OtherNCPPO
69614OtherPRIVATE HEALTHCARE
1243564001OtherCIGNA
174130OtherCOVENTRY
455055OtherAETNA HMO
90209000000OtherPREFERRED HEALTH NET
DCE3510001OtherCAREFIRST BCBS
MD0974120002Medicare NSC
MDKY26ELOtherCAREFIRST BCBS
1243564001OtherCIGNA
2700091OtherUNITED HEALTHCARE
MD0974120001Medicare NSC