DR. ROBERT L VANFOSSON (NPI# 1194734780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194734780 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L VANFOSSON |
| Credential | D.P.M. |
| Practice Address |
22325 Greenview Pkwy Great Mills MD 20634-3491 |
| Mailing Address |
Po Box 1310 California MD 20619-1310 |
| Practice Telephone | 3018623338 |
| Practice Fax Number | 3018623335 |
| Mailing Telephone | 3018623338 |
| Mailing Fax Number | 3018632225 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
01346 | MD | Podiatric Medicine & Surgery Service Providers |
| Street Address |
22325 GREENVIEW PKWY |
| City | GREAT MILLS |
| State | MD |
| Zip Code | 20634-3491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255371506 | Catherine Carroll-parker | Social Worker | 22325 Greenview Pkwy, Innerworks, Inc., Great Mills, MD 20634 | 2006-06-07 |
| 1245486463 | Kyle K Bishop | Counselor | 22325 Greenview Pkwy, Unit 1b, Great Mills, MD 20634-4404 | 2008-08-08 |
| 1992840235 | Innerworksinc | Community/Behavioral Health | 22325 Greenview Pkwy, Unit 1b, Great Mills, MD 20634-3491 | 2007-02-21 |
| 1336158955 | Douglas H Hallgren | Podiatrist | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| 1053320580 | Capital Foot & Ankle Care Centre Pa | Non-Pharmacy Dispensing Site | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| 1245249754 | St. Mary's Multispecialty Surgery Center | Clinic/Center | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| 1295750594 | St. Mary's Multi-specialty Surgery Centre, Inc. | Clinic/Center | 22325 Greenview Pkwy, Great Mills, MD 20634-4404 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033699871 | Pamela A Laigle | Nurse Practitioner | 45870 E. Run Dr., Great Mills, MD 20634 | 2018-08-21 |
| 1710539242 | Adrian A Thompson | Dentist | 22329 Greenview Pkwy, Great Mills, MD 20634 | 2019-07-15 |
| 1730652637 | Gilberta Campbell | Occupational Therapist | 21130 Great Mills Rd, Great Mills, MD 20634-2344 | 2019-01-03 |
| 1992067599 | Victoria Marie Cutchember | Nurse's Aide | 45910 Foxchase Dr, Apt.315, Great Mills, MD 20634-2381 | 2012-06-11 |
| 1073783742 | Mary Yvonne Ayers | Social Worker | 22330 Chancellors Run Rd Unit E, Great Mills, MD 20634-2423 | 2008-03-09 |
| 1053584912 | Mary Christine Fillius Boddicker | Physical Therapist | 46135 N Greens Rest Dr, Great Mills, MD 20634-3065 | 2008-04-10 |
| 1891234068 | Sonia Roy | Registered Nurse | 20861 Harvest Mill Ct, Great Mills, MD 20634-3318 | 2017-02-21 |
| 1417127812 | Ronald Kenneth Buttery | Registered Nurse | 22322 Greenview Pkwy, 100-c, Great Mills, MD 20634-3420 | 2008-03-03 |
| 1295272250 | Troy Mendenhall | Specialist/Technologist | 45444 Blue Flax Way, Great Mills, MD 20634-3466 | 2017-01-27 |
| 1902932809 | Tomicka Jackson-george | Dentist | 22329 Greenview Pkwy, Great Mills, MD 20634-3491 | 2007-02-26 |
| Find all providers in zip 20634 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336158955 | Douglas H Hallgren | Podiatrist | 22325 Greenview Pkwy, Great Mills, MD 20634-3491 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336773639 | Rosedale Podiatry Associates | Podiatrist | 9106 Philadelphia Rd Ste 204, Baltimore, MD 21237-4333 | 2020-02-25 |
| 1003447574 | Podiatry Associates Ambulatory Surgery Centers | Podiatrist | 6569 N Charles St Ste 702, Towson, MD 21204-6832 | 2020-02-03 |
| 1770143497 | Cassandre Charles | Podiatrist | 10 N Greene St Ste 112b, Baltimore, MD 21201-1524 | 2019-06-14 |
| 1720566466 | Rene Siazon Juridico | Podiatrist | 10 N Greene St # 112b, Baltimore, MD 21201-1524 | 2018-08-03 |
| 1922520063 | Maryland Foot & Ankle Reconstruction Group LLC | Podiatrist | 14301 Autumn Gold Rd, Boyds, MD 20841-4208 | 2017-07-11 |
| 1376073171 | Laura Ashley Michetti | Podiatrist | 10264 Southern Maryland Blvd Ste 105, Dunkirk, MD 20754-3037 | 2017-06-14 |
| 1235671298 | David Lee Reicher | Podiatrist | 12138 Heneson Garth, Owings Mills, MD 21117-1600 | 2016-11-08 |
| 1942756275 | Adam Weaver | Podiatrist | 139 Old Solomons Island Rd Ste C, Annapolis, MD 21401-0902 | 2016-08-28 |
| 1528419595 | Kristen Rose Cadieux | Podiatrist | 16 North Laplata Court, Laplata, MD 20646-4200 | 2016-06-30 |
| 1073962270 | Farzad Saleh | Podiatrist | 6130 Oxon Hill Rd Ste 305, Oxon Hill, MD 20745-3168 | 2016-06-08 |
| Find all providers with the same taxonomy | ||||
| City | GREAT MILLS |
| Zip Code | 20634 |
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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.