FOOT HEALTH & FITNESS, PA (NPI# 1134373046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134373046 |
| Entity Type | Organization |
| Organization Name | FOOT HEALTH & FITNESS, PA |
| Practice Address |
4000 Mitchellville Rd Suite A304 Bowie MD 20716-3104 |
| Mailing Address |
Po Box 2138 Bowie MD 20718-2138 |
| Practice Telephone | 3018059308 |
| Practice Fax Number | 3018059309 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | DR. RENEE CARTER-PERPALL (PRESIDENT) |
| Authorized Official Telephone | 3018059308 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
00648 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PTAN | 146236 | 01 |
| MD | MEDICARE | G01576 | 01 |
| Street Address |
4000 MITCHELLVILLE RD SUITE A304 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408955 | Lynne Ann Jacobs | Nurse Practitioner | 4000 Mitchellville Rd, A-414, Bowie, MD 20716-3104 | 2005-06-23 |
| 1073059515 | Lifestream Health Center | Clinical Medical Laboratory | 4000 Mitchellville Rd, Suite B322, Bowie, MD 20716-3104 | 2017-01-09 |
| 1730531278 | Jessica Lynn Rizzo | Physical Therapist | 4000 Mitchellville Rd, Suite A404, Bowie, MD 20716 | 2016-07-08 |
| 1538535992 | Lifestyle Hearing Professionals, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2015-08-19 |
| 1841674777 | Lifestream Health Center | Non-Pharmacy Dispensing Site | 4000 Mitchellville Rd, B322, Bowie, MD 20716-3104 | 2015-07-09 |
| 1720468663 | Capital Orthopaedic Specialists LLC | Physical Therapist | 4000 Mitchellville Rd, Suite B116, Bowie, MD 20716-3104 | 2015-06-05 |
| 1366820284 | Capital Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd, Suite B 116, Bowie, MD 20716-3104 | 2015-05-12 |
| 1497154223 | Made To Move LLC | Clinic/Center | 4000 Mitchellville Rd, Suite 404a, Bowie, MD 20716-3104 | 2014-08-18 |
| 1841606258 | Doctors of Audiology, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2014-07-07 |
| 1881007995 | Digestive and Biliary Disease Consultants LLC | Hospitalist | 4000 Mitchellville Rd, Ste B 430, Bowie, MD 20716-3104 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427184191 | Renee Carter-perpall | Podiatrist | 4000 Mitchellville Rd, Suite A304, Bowie, MD 20716-3133 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023000 | Podiatry Associates, P.a. | Podiatrist | 71 Shipping Pl, Dundalk, MD 21222-4320 | 2020-08-13 |
| 1851827042 | Joyce Podiatry L.L.C. | Podiatrist | 826 Washington Rd Ste 206, Westminster, MD 21157-5780 | 2017-05-07 |
| 1750751988 | Blessed Soles Podiatry. LLC | Podiatrist | 23 Clovelly St Apt 4105, Pikesville, MD 21208-3776 | 2015-09-30 |
| 1154714822 | Crosskeys Medical Center, LLC | Podiatrist | 1 Village Sq Ste 165, Baltimore, MD 21210-1603 | 2015-03-05 |
| 1871741355 | Royden J Stanford | Podiatrist | 22325 Greenview Pkwy Unit 1a, Great Mills, MD 20634-4405 | 2008-09-08 |
| 1396894598 | Thuy-linh Duy Nguyen | Podiatrist | 3334 Paper Mill Rd, Phoenix, MD 21131-1419 | 2007-01-09 |
| 1548343437 | Arnold R Forman | Podiatrist | 1123 Merritt Blvd, Dundalk, MD 21222-1438 | 2006-10-23 |
| 1467562389 | Mark William Rothstein | Podiatrist | 6507 Edenvale Rd, Baltimore, MD 21209-3303 | 2006-08-30 |
| 1235156290 | Eliezer Trybuch Dpm,llc | Podiatrist | 12121 New Hampshire Avenue, Silver Spring, MD 20904-2868 | 2006-07-16 |
| 1205861564 | Michael Edward Pearlman | Podiatrist | 12103 Old Line Ctr, Waldorf, MD 20602-2552 | 2006-07-12 |
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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.