BETHESDA FOOT & ANKLE CENTER (NPI# 1295190759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295190759 |
| Entity Type | Organization |
| Organization Name | BETHESDA FOOT & ANKLE CENTER |
| Practice Address |
10215 Fernwood Rd Suite 635 Bethesda MD 20817-1106 |
| Practice Telephone | 3015305658 |
| Practice Fax Number | 3015302606 |
| Mailing Telephone | 3015305658 |
| Mailing Fax Number | 3015302606 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | DR. ALAN ROBERT DEROY (VICE PRESIDENT) |
| Authorized Official Telephone | 3015305658 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
10215 FERNWOOD RD SUITE 635 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235134560 | Christopher Cannova | Specialist | 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 | 2005-06-14 |
| 1154854545 | Susannah Lin Edwards | Dietitian, Registered | 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106 | 2017-04-04 |
| 1194273052 | Margarita E Matamoros | Social Worker | 10215 Fernwood Rd, Ste 630, Bethesda, MD 20817-1106 | 2016-09-20 |
| 1528419397 | Judith W Libert | Social Worker | 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106 | 2016-06-23 |
| 1205201035 | Calli Jean Van Dam | Nurse Practitioner | 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 | 2015-12-04 |
| 1992105050 | Rahat Sood | Dentist | 10215 Fernwood Rd, Suite 415, Bethesda, MD 20817-1106 | 2014-08-26 |
| 1841632650 | Michael Jay Tanenhaus | Dentist | 10215 Fernwood Rd, Suite 414, Bethesda, MD 20817-1106 | 2013-07-22 |
| 1396188579 | Center for Continence and Pelvic Support PC | Specialist | 10215 Fernwood Rd, Ste 300, Bethesda, MD 20817-1106 | 2013-04-08 |
| 1326383019 | Jessica L Murgueytio | Dietitian, Registered | 10215 Fernwood Rd, Ste 50, Bethesda, MD 20817-1106 | 2012-12-06 |
| 1831452135 | Ortho-trauma Bethesda, LLC | Orthopaedic Surgery | 10215 Fernwood Rd, Suite 506, Bethesda, MD 20817-1106 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932214566 | Tobias Glister | Podiatrist | 8901 Wisconsin Ave, Walter Reed National Military Medical Center, Bethesda, MD 20889-0004 | 2006-08-21 |
| 1548237811 | Robert John Pierce | Podiatrist | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-03-04 |
| 1801862149 | Paul B Ross | Podiatrist | 8218 Wisconsin Ave, Suite P-14, Bethesda, MD 20814-3107 | 2006-02-27 |
| 1447226709 | The Podiatry Center Chartered | Podiatrist | 8218 Wisconsin Ave, Suite P-14, Bethesda, MD 20814-3107 | 2006-02-27 |
| 1033181946 | Steven Henry Mcilwain | Podiatrist | 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2006-02-03 |
| 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 |
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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.