FOOT AND ANKLE PAIN CENTER LLC (NPI# 1003420225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003420225 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE PAIN CENTER LLC |
| Practice Address |
9821 Broken Land Pkwy Ste 103 Columbia MD 21046-1161 |
| Practice Telephone | 4105753668 |
| Mailing Telephone | 4105753668 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | DR. BENJAMIN DAVID ELGAMIL (OWNER) |
| Authorized Official Telephone | 4105753668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Columbia Podiatry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773767 | Foot and Ankle Pain Center LLC | Durable Medical Equipment & Medical Supplies | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2020-09-04 |
| Street Address |
9821 BROKEN LAND PKWY STE 103 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831539303 | Benjamin David Elgamil | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2013-06-28 |
| 1538773767 | Foot and Ankle Pain Center LLC | Durable Medical Equipment & Medical Supplies | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2020-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1912388661 | Evan K Yoo | Podiatrist | 5500 Knoll North Dr Ste 440, Columbia, MD 21045-2364 | 2015-06-17 |
| 1831539303 | Benjamin David Elgamil | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2013-06-28 |
| 1154627008 | Michelle P Glover | Podiatrist | 3 Richland Medical Park Suite 110, Columbia, SC 29203 | 2011-02-09 |
| 1457440265 | Hyman David Gottlieb | Podiatrist | 11733 Lone Tree Ct, Columbia, MD 21044-4310 | 2006-10-11 |
| 1730176249 | Harry Cotler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2005-09-29 |
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1356791735 | Matthew Engelthaler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2016-06-16 |
| 1013393297 | Carly Chapman | Podiatrist | 1516 Calhoun St, Columbia, SC 29201 | 2015-08-10 |
| 1457747271 | Jason Blanchard | Podiatrist | 1605 E Broadway Ste 110, Columbia, MO 65201-8023 | 2015-04-08 |
| Find all providers in COLUMBIA | ||||
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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.