CAPITAL FOOT & ANKLE CARE CENTRE, PA (NPI# 1205264363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205264363 |
| Entity Type | Organization |
| Organization Name | CAPITAL FOOT & ANKLE CARE CENTRE, PA |
| Other Organization Name | CHARLOTTE HALL FOOT & ANKLE |
| Practice Address |
37767 Market Dr Unit 100 Charlotte Hall MD 20622-3175 |
| Mailing Address |
Po Box 1310 California MD 20619-1310 |
| Practice Telephone | 3018623338 |
| Practice Fax Number | 3018623335 |
| Mailing Telephone | 3018623338 |
| Mailing Fax Number | 3018623335 |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | DR. ROBERT LOUIS VANFOSSON (PRESIDENT) |
| Authorized Official Telephone | 3018623338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | CAPITAL FOOT & ANKLE CARE CENTRE, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 00975 | MD | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
01346 | MD | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
01511 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 231308100 | 05 | |
| MD | CAREFIRST | 77230001 | 01 |
| Other Name | Type Code |
|---|---|
| Charlotte Hall Foot & Ankle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225466485 | Capital Foot & Ankle Care Centre, Pa | Podiatrist | 22680 Cedar Lane Ct Ofc 2, Leonardtown, MD 20650-3910 | 2013-10-28 |
| Street Address |
37767 MARKET DR UNIT 100 |
| City | CHARLOTTE HALL |
| State | MD |
| Zip Code | 20622-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075917 | Academy Dental Care LLC | Dentist | 37601 Golden Beach Rd., Charlotte Hall, MD 20622 | 2019-07-22 |
| 1215405824 | Erin Elizabeth Wilkins | Counselor | 30007 Business Center Drive, Charlotte Hall, MD 20622 | 2018-11-13 |
| 1073913646 | Michelle Northam | Counselor | 29958 Killpeck Creek Ct, Charlotte Hall, MD 20622 | 2014-09-02 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1235481672 | Dana Kim | Dentist | 29795 Three Notch Rd., Charlotte Hall, MD 20622 | 2012-10-09 |
| 1376714121 | Pediatric Dentistry of Southern Maryland | Dentist | 29795 Three Notch Road, Charlotte Hall, MD 20622 | 2008-03-20 |
| 1407054349 | Shah Associates Md LLC | Internal Medicine | Charlotte Hall Medical Center, 37767 Market Dr. 2nd Floor, Charlotte Hall, MD 20622 | 2007-07-03 |
| 1124245329 | Board of Child Care of The United Methodist Church Inc | Community/Behavioral Health | 30049 Business Center Drive, Charlotte Hall, MD 20622 | 2007-04-19 |
| 1700977345 | Laura R Starks | Physical Therapist | 29770 Three Notch Road, Charlotte Hall, MD 20622 | 2006-09-27 |
| 1659462133 | Coordinated Movements Inc | Physical Therapist | 29770 Three Notch Road Suite 201, Charlotte Hall, MD 20622 | 2006-09-27 |
| Find all providers in zip 20622 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| 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 | CHARLOTTE HALL |
| Zip Code | 20622 |
Please comment or provide details below to improve the information on CAPITAL FOOT & ANKLE CARE CENTRE, PA.
| 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.