FAMILY PODIATRY PC (NPI# 1023267903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023267903 |
| Entity Type | Organization |
| Organization Name | FAMILY PODIATRY PC |
| Practice Address |
5632 Annapolis Rd Ste 12 Bladensburg MD 20710-2213 |
| Mailing Address |
615 Quackenbos St Nw Washington DC 20011-1229 |
| Practice Telephone | 3013904440 |
| Practice Fax Number | 2027260656 |
| Mailing Telephone | 3013904440 |
| Mailing Fax Number | 2027260656 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-10-30 |
| Authorized Official Name | TERESA L HILLIARD (OWNER) |
| Authorized Official Telephone | 3013904440 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
103000906 | VA | Ambulatory Health Care Facilities |
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
PO517 | DC | Ambulatory Health Care Facilities |
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
01129 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 011297300 | 05 |
| Street Address |
5632 ANNAPOLIS RD STE 12 |
| City | BLADENSBURG |
| State | MD |
| Zip Code | 20710-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558445379 | Teresa Leah Hilliard | Podiatrist | 5632 Annapolis Rd Ste 12, Bladensburg, MD 20710-2213 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745969 | Kudirat Yusuf | Registered Nurse | 5106 Upshur St, Bladensburg, MD 20710 | 2018-10-12 |
| 1083100903 | Solange Lum Ngwa | Home Health | 3801 Kenilworth Ave Apt 401e, Bladensburg, MD 20710 | 2018-07-03 |
| 1093215816 | Bilikis Adejoke Bello I | Home Health Aide | 4265 58th Ave Apt T1, Bladensburg, MD 20710 | 2018-02-19 |
| 1689047409 | Lifeline Incoporation | Custodial Care Facility | 502 Varnum Street, Bladensburg, MD 20710 | 2015-11-02 |
| 1881016376 | Emmanuel Achaleke | Student in an Organized Health Care Education/Training Program | 5800 Annapolis Road, Apartment 807, Bladensburg, MD 20710 | 2014-01-17 |
| 1912338716 | Omoseke Olasesan | Home Health Aide | 5006 57th Ave, Bladensburg, MD 20710 | 2013-12-03 |
| 1629400171 | Okechukwu N Emmanuel | Home Health Aide | 5030 57th Ave Apt 201, Bladensburg, MD 20710 | 2013-08-07 |
| 1831534775 | Idowu Ojo | Home Health Aide | 5202 Varunm St, Bladensburg, MD 20710 | 2013-05-06 |
| 1558609479 | Osman Tot Kamara | Home Health Aide | 4319 57th Ave Apt 10, Bladensburg, MD 20710 | 2013-01-28 |
| 1659636942 | Afoussath Amoussa | Home Health Aide | 5021 Townsend Way, A3, Bladensburg, MD 20710 | 2012-07-12 |
| Find all providers in zip 20710 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590706 | Medstar Medical Group II, LLC | Clinic/Center | 5601 Loch Raven Blvd Ste 101, Baltimore, MD 21239-2945 | 2019-07-24 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1144547951 | Richard L. Rosenblatt D.p.m.,pc | Clinic/Center | 6606 Park Heights Ave Ste 9a, Baltimore, MD 21215-2732 | 2010-05-03 |
| 1497089304 | Catonsville Foot & Ankle | Clinic/Center | 109 Osborne Ave, Catonsville, MD 21228-4937 | 2009-09-24 |
| 1760491633 | Calvert Ambulatory Foot Surgery Center | Clinic/Center | 1430 Old Solomons Island Road, Prince Frederick, MD 20678 | 2006-08-07 |
| 1780687442 | Polun American Surgery Center, PC | Clinic/Center | 10236 River Rd, Potomac, MD 20854-4959 | 2005-05-24 |
| 1124534581 | Sole Care LLC | Clinic/Center | 23 Clovelly St Apt 4105, Pikesville, MD 21208-3776 | 2017-12-21 |
| 1295261436 | Samuel D Beitler | Clinic/Center | 795 Aquahart Rd, Suite 125, Glen Burnie, MD 21061-3962 | 2017-05-09 |
| 1316326978 | Reconstructive Foot and Ankle Institute, LLC | Clinic/Center | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2015-05-28 |
| 1114346731 | Va Maryland Health Care System | Clinic/Center | 10 N Greene St, Baltimore, MD 21201-1524 | 2014-04-10 |
| Find all providers with the same taxonomy | ||||
| City | BLADENSBURG |
| Zip Code | 20710 |
Please comment or provide details below to improve the information on FAMILY PODIATRY PC.
| 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.