RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC (NPI# 1316326978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316326978 |
| Entity Type | Organization |
| Organization Name | RECONSTRUCTIVE FOOT AND ANKLE INSTITUTE, LLC |
| Practice Address |
2100 Old Farm Dr Suite D Frederick MD 21702-9494 |
| Mailing Address |
1150 Professional Ct Suite C Hagerstown MD 21740-4100 |
| Practice Telephone | 3014186014 |
| Practice Fax Number | 3017978554 |
| Mailing Telephone | 3017978554 |
| Mailing Fax Number | 3017979228 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Authorized Official Name | DR. DANIEL DALE MICHAELS (PODIATRIST, MEMBER) |
| Authorized Official Telephone | 3017978554 |
| Authorized Official Credential | DPM, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
01333 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245610476 | Reconstructive Foot and Ankle Institute, LLC | Durable Medical Equipment & Medical Supplies | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2015-06-03 |
| Street Address |
2100 OLD FARM DR SUITE D |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306996913 | T. Gregory Hutton | Dentist | 2100 Old Farm Dr, Suite B, Frederick, MD 21702-9494 | 2007-01-12 |
| 1245610476 | Reconstructive Foot and Ankle Institute, LLC | Durable Medical Equipment & Medical Supplies | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2015-06-03 |
| 1356633754 | Reconstructive Foot & Ankle Institute, LLC | Podiatrist | 2100 Old Farm Dr, Suite D, Frederick, MD 21702-9494 | 2011-05-04 |
| 1073732210 | Richard Lee Rogers | Dentist | 2100 Old Farm Dr, Suite1f, Frederick, MD 21702-9494 | 2007-04-25 |
| 1467588970 | Robert Michael Skvorak | Dentist | 2100 Old Farm Dr, 1 E, Frederick, MD 21702 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590706 | Medstar Medical Group II, LLC | Clinic/Center | 5601 Loch Raven Blvd Ste 101, Baltimore, MD 21239-2945 | 2019-07-24 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1144547951 | Richard L. Rosenblatt D.p.m.,pc | Clinic/Center | 6606 Park Heights Ave Ste 9a, Baltimore, MD 21215-2732 | 2010-05-03 |
| 1497089304 | Catonsville Foot & Ankle | Clinic/Center | 109 Osborne Ave, Catonsville, MD 21228-4937 | 2009-09-24 |
| 1760491633 | Calvert Ambulatory Foot Surgery Center | Clinic/Center | 1430 Old Solomons Island Road, Prince Frederick, MD 20678 | 2006-08-07 |
| 1780687442 | Polun American Surgery Center, PC | Clinic/Center | 10236 River Rd, Potomac, MD 20854-4959 | 2005-05-24 |
| 1124534581 | Sole Care LLC | Clinic/Center | 23 Clovelly St Apt 4105, Pikesville, MD 21208-3776 | 2017-12-21 |
| 1295261436 | Samuel D Beitler | Clinic/Center | 795 Aquahart Rd, Suite 125, Glen Burnie, MD 21061-3962 | 2017-05-09 |
| 1114346731 | Va Maryland Health Care System | Clinic/Center | 10 N Greene St, Baltimore, MD 21201-1524 | 2014-04-10 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| Find all providers with the same taxonomy | ||||
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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.