MEDICARE: DIAMED, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	HMEL 11048	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000155860	OTHER	OH	ANTHEM BC/BS PROVIDER ID
2	91490	OTHER	OH	QUALCHOICE PROVIDER ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669470977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMED, INC.

Provider Business Mailing Address
First Line	:	3670 PROGRESS ST NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-4438
Country	:	US
Telephone Number	:	330-588-8966
Fax Number	:	330-588-8179

Provider Business Practice Location Address
First Line	:	3670 PROGRESS ST NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-4438
Country	:	US
Telephone Number	:	330-588-8966
Fax Number	:	330-588-8179

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SCOTT WAKSER
Credential	:
Telephone Number	:	330-588-8966

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	08/22/2020

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Directions to “DIAMED, INC. ” Practice Location

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