FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC (NPI# 1184090144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184090144 |
| Entity Type | Organization |
| Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
| Practice Address |
129 Lubrano Dr Suite 303 Annapolis MD 21401-7564 |
| Mailing Address |
1600 E Gude Dr Suite 200 Rockville MD 20850-1341 |
| Practice Telephone | 4102667575 |
| Practice Fax Number | 4102667366 |
| Mailing Telephone | 3019337133 |
| Mailing Fax Number | 3019337137 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | DR. DAVID FREEDMAN (VICE-PRESIDENT) |
| Authorized Official Telephone | 3015980130 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861614 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1506 E Franklin St Ste 104, Chapel Hill, NC 27514-2825 | 2020-04-28 |
| 1316576283 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 3800 Highway 49 South, Harrisburg, NC 28075 | 2020-04-03 |
| 1346878410 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 16419 Northcross Dr Ste A, Huntersville, NC 28078-5009 | 2020-04-01 |
| 1386289841 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 700 Tilghman Dr Ste 722, Dunn, NC 28334-5519 | 2019-11-08 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1699331710 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2210 Executive Dr Ste E, Hampton, VA 23666-6605 | 2019-05-14 |
| 1912474784 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1004 Werrington Drive, Suite 300, Holly Springs, NC 27540 | 2018-10-30 |
| 1215419015 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 530 Sunset Ln Ste A, Culpeper, VA 22701-3981 | 2018-08-29 |
| 1942782743 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 66 Parkway Ln Ste 102, Fishersville, VA 22939-2385 | 2018-08-29 |
| Street Address |
129 LUBRANO DR SUITE 303 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985676 | Michael Scott Riebman | Family Medicine | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7566 | 2005-07-13 |
| 1205267366 | Ellen Parr | Physical Therapist | 129 Lubrano Dr, #301, Annapolis, MD 21401-7564 | 2013-11-27 |
| 1952669798 | Jutton Surgical Services, LLC | Surgery | 129 Lubrano Dr, L 101, Annapolis, MD 21401-7564 | 2012-04-30 |
| 1750657268 | Annapolis Allergy & Asthma LLC | Allergy & Immunology | 129 Lubrano Dr, Suite 200, Annapolis, MD 21401-7564 | 2012-03-29 |
| 1346520699 | Center for Gyn Surgery | Specialist | 129 Lubrano Dr, Suite 101, Annapolis, MD 21401-7564 | 2011-08-18 |
| 1407144561 | Jennifer Burton Barnard | Physical Therapist | 129 Lubrano Dr, Ste 201, Annapolis, MD 21401-7564 | 2011-07-11 |
| 1669616520 | Nnemdi Amanda Baird-cross | Family Medicine | 129 Lubrano Dr, Suite 100, Annapolis, MD 21401-7564 | 2009-04-22 |
| 1962678649 | Stella Lii Blosser | Obstetrics & Gynecology | 129 Lubrano Dr, Suite 101, Annapolis, MD 21401-7564 | 2008-05-02 |
| 1114195112 | Tyson Gary Bross | Dentist | 129 Lubrano Dr, Suite 300, Annapolis, MD 21401-7564 | 2008-02-13 |
| 1407043870 | Britta Margaret Svenson Nauman | Physical Therapist | 129 Lubrano Dr, Suite 301, Annapolis, MD 21401-7564 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982083606 | Mark Sussman | Podiatrist | 2926 Winters Chase Way, Annapolis, MD 21401-7704 | 2015-05-27 |
| 1164531752 | James M Mckee | Podiatrist | 139 Old Solomons Island Road, Suite C, Annapolis, MD 21401-0902 | 2006-08-29 |
| 1134114390 | Wayne K Knoll | Podiatrist | 128 Lubrono Dr, Suite 102, Annapolis, MD 21401-7028 | 2005-09-14 |
| 1801896113 | Kenneth L. Hatch | Podiatrist | 1831 Forest Dr, Ste C, Annapolis, MD 21401-4430 | 2005-07-28 |
| 1205830122 | Courtney S Palmer | Podiatrist | 168 West St, Annapolis, MD 21401-2824 | 2005-06-09 |
| 1649499179 | Kenneth L Hatch Dpm Pa | Podiatrist | 1831 Forest Dr, Suite C, Annapolis, MD 21401-4430 | 2007-04-24 |
| 1427167923 | Podiatry Group of Annapolis Pa | Podiatrist | 139 Old Solomons Island Road, Suite C, Annapolis, MD 21401-0902 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342236 | Podiatry Associates, P.a. | Podiatrist | 9403 Harford Rd Ste 5, Baltimore, MD 21234-3123 | 2020-09-24 |
| 1063029114 | Podiatry Associates, P.a. | Podiatrist | 404 Eastern Blvd Ste 1, Baltimore, MD 21221-6748 | 2020-09-23 |
| 1285259192 | Podiatry Associates, P.a. | Podiatrist | 110 Old Padonia Rd Ste 300, Cockeysville, MD 21030-4948 | 2020-06-16 |
| 1588295059 | Podiatry Associates, P.a. | Podiatrist | 1205 York Rd Ste 17, Lutherville, MD 21093-6211 | 2020-02-03 |
| 1861023327 | Podiatry Associates, P.a. | Podiatrist | 10 Warren Rd Ste 130, Cockeysville, MD 21030-2518 | 2020-02-03 |
| 1225669781 | Podiatry Associates, P.a. | Podiatrist | 2 E Rolling Xrds Ste 55, Catonsville, MD 21228-6212 | 2020-02-03 |
| 1114558681 | Podiatry Associates, P.a. | Podiatrist | 7131 Liberty Rd Ste 100, Baltimore, MD 21207-4580 | 2020-02-03 |
| 1952932428 | Podiatry Associates, P.a. | Podiatrist | 795 Aquahart Rd Ste 125, Glen Burnie, MD 21061-3905 | 2020-02-03 |
| 1861023335 | Podiatry Associates, P.a. | Podiatrist | 1500 Blenhiem Farm Ln Ste C, Havre De Grace, MD 21078-2042 | 2020-02-03 |
| 1336798719 | Podiatry Care Plus LLC | Podiatrist | 14201 Laurel Park Dr Ste 214, Laurel, MD 20707-5203 | 2019-09-09 |
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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.