PETER S DIAMOND (NPI# 1730126954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730126954 |
| Entity Type | Individual |
| Full Name | PETER S DIAMOND |
| Credential | M.D. |
| Practice Address |
W3985 County Road Nn Elkhorn WI 53121-4337 |
| Practice Telephone | 2627412000 |
| Practice Fax Number | 2627412180 |
| Mailing Telephone | 2627412000 |
| Mailing Fax Number | 2627412180 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
67017 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RRMC-LOCALITY 16 | 060041167 | 01 |
| IL | AETNA | 4064709 | 01 |
| IL | MEDICARE PIN-LOCALITY 15 | L71656 | 01 |
| ID | BCBS | 1616378 | 01 |
| IL | NPI GROUP PRACTICE | 1316998578 | 01 |
| IL | MEDICARE PIN-LOCALITY 16 | L57038 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309567 | Peter E Diamond | Chiropractor | 906 N Federal Hwy, Fort Lauderdale, FL 33304 | 2005-10-10 |
| 1386783975 | Peter Elliott Diamond | Orthopaedic Surgery | 932 Ward Ave, Suite 460, Honolulu, HI 96814-2131 | 2007-02-06 |
| 1063492700 | Peter H Diamond | Anesthesiology | 99 E River Dr, 5th Floor, East Hartford, CT 06108-3288 | 2006-01-19 |
| 1427050459 | Peter F Diamond | Family Medicine | 119 Holland Circle Dr, Amsterdam, NY 12010-7550 | 2005-08-10 |
| Street Address |
W3985 COUNTY ROAD NN |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466019 | Abdullah A Fayyad | Internal Medicine | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2005-06-10 |
| 1881202919 | Alexandra Sharapova | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-07-15 |
| 1619505963 | Melissa Folstad | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1700414091 | Kaitlin Pellicano | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-31 |
| 1548898059 | Rabeea Rafiq Lodhra | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-30 |
| 1750919510 | Lindsey Elizabeth Mckee | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2020-03-28 |
| 1053873430 | Cherline Lee Rausch | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-03 |
| 1245792027 | Jazmine Jenae Smith | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-04-02 |
| 1669931978 | Jeffrey Allen Farvour | Student in an Organized Health Care Education/Training Program | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2019-03-16 |
| 1144703778 | Brianna H Wordell | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2018-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639333883 | James N Karnegis | Internal Medicine | 20975 Bonanza Blvd, Elkhorn, NE 68022-1838 | 2008-07-16 |
| 1174543292 | Cary E Berkowitz | Internal Medicine | W 3985 County Road Nn, Elkhorn, WI 53121-3604 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
| 1548686470 | Cullinane Cardiovascular Consultants, Sc | Internal Medicine | 317 N Lake Rd, Oconomowoc, WI 53066-7101 | 2014-03-17 |
| 1235492455 | David James Coulter | Internal Medicine | 2025 W Oklahoma Ave Ste 105, Milwaukee, WI 53215-4455 | 2012-06-21 |
| 1619234937 | Daniel R Harland | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 880, Milwaukee, WI 53215-3678 | 2012-04-12 |
| 1295053106 | Setu D Trivedi | Internal Medicine | 10400 75th St Ste 212, Kenosha, WI 53142 | 2010-05-17 |
| 1336467554 | Expert Care Inc | Internal Medicine | 1111 E Sumner St, Suite A, Hartford, WI 53027-1609 | 2010-05-12 |
| 1548582547 | Moe Zafarani | Internal Medicine | 3215 W Lawrence St Ste 3, Appleton, WI 54914-4274 | 2010-02-18 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1740419019 | Thomas James Karras | Internal Medicine | 212 S Turtle Bay, Elkhart Lake, WI 53020-1985 | 2009-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.