MEDSTAR MEDICAL GROUP II, LLC (NPI# 1316590706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316590706 |
| Entity Type | Organization |
| Organization Name | MEDSTAR MEDICAL GROUP II, LLC |
| Other Organization Name | MMG PODIATRY |
| Practice Address |
5601 Loch Raven Blvd Ste 101 Baltimore MD 21239-2945 |
| Mailing Address |
2000 15th St N Ste 600 Arlington VA 22201-2900 |
| Practice Telephone | 4434442876 |
| Practice Fax Number | 4434441487 |
| Mailing Telephone | 7035581400 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | MS. STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7035581403 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDSTAR MEDICAL GROUP II, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| MMG PODIATRY | Other Name - Individual/Organization |
| Street Address |
5601 LOCH RAVEN BLVD STE 101 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
| Find all providers in zip 21239 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1114558681 | Podiatry Associates, P.a. | Podiatrist | 7131 Liberty Rd Ste 100, Baltimore, MD 21207-4580 | 2020-02-03 |
| 1306222138 | Affiliated Podiatrists Pa | Podiatrist | 1625 E Fort Ave, Baltimore, MD 21230-5245 | 2015-08-04 |
| 1154764207 | Tiffany Kit Hoh | Podiatrist | 5601 Loch Raven Blvd # 101, Baltimore, MD 21239-2945 | 2013-04-09 |
| 1154612158 | Advance Foot Care and Medical Services,llc | Podiatrist | 4801 Liberty Heights Ave, Baltimore, MD 21207-7157 | 2011-04-25 |
| 1215255120 | First Step Health Systems LLC | Podiatrist | 2305 N Charles St, Baltimore, MD 21218-5128 | 2010-05-17 |
| 1578739777 | Alan J Kleiman Dpm Pa | Podiatrist | 839 West 36th Street, Baltimore, MD 21211-2508 | 2008-05-07 |
| 1114116498 | Joseph E Dove | Podiatrist | 4201 Belmar Ave, Baltimore, MD 21206-1900 | 2007-10-23 |
| 1962614586 | Edward S. Sibel, D.p.m. | Podiatrist | 406 Eastern Blvd, Baltimore, MD 21221-6714 | 2007-05-04 |
| Find all providers in BALTIMORE | ||||
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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.